| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
16,165 |
15,327 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,122 |
3,897 |
$236K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,181 |
5,029 |
$195K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,492 |
7,307 |
$140K |
| 92250 |
|
3,827 |
3,624 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,401 |
2,336 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,084 |
1,035 |
$55K |
| V2020 |
Frames, purchases |
4,253 |
4,177 |
$44K |
| V2760 |
Scratch resistant coating, per lens |
3,727 |
3,666 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,825 |
1,792 |
$25K |
| V2755 |
U-v lens, per lens |
3,724 |
3,663 |
$22K |
| 92341 |
|
592 |
572 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
283 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,700 |
1,675 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
47 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
113 |
113 |
$3K |
| 92310 |
|
16 |
16 |
$90.00 |
| 99072 |
|
248 |
245 |
$88.75 |
| 1036F |
|
1,102 |
1,039 |
$0.00 |
| 3072F |
|
29 |
29 |
$0.00 |