| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,519 |
3,416 |
$306K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,969 |
2,865 |
$187K |
| V2020 |
Frames, purchases |
5,463 |
5,108 |
$164K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,240 |
4,097 |
$145K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,199 |
3,000 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,376 |
1,260 |
$49K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
786 |
734 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
393 |
372 |
$27K |
| 92015 |
Determination of refractive state |
1,591 |
1,507 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
916 |
865 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,586 |
2,430 |
$19K |
| V2760 |
Scratch resistant coating, per lens |
2,359 |
2,265 |
$4K |
| 92002 |
|
66 |
66 |
$3K |
| 92370 |
|
112 |
106 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
33 |
$2K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
13 |
12 |
$1K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
46 |
43 |
$860.00 |
| 92083 |
|
12 |
12 |
$656.21 |
| 92136 |
|
12 |
12 |
$388.68 |
| 92134 |
|
15 |
12 |
$359.22 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
16 |
13 |
$210.00 |