| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,903 |
6,529 |
$441K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,245 |
4,872 |
$312K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,474 |
2,360 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,486 |
1,177 |
$50K |
| 92015 |
Determination of refractive state |
4,435 |
4,180 |
$25K |
| 92341 |
|
331 |
321 |
$21K |
| 92370 |
|
554 |
516 |
$15K |
| V2020 |
Frames, purchases |
851 |
569 |
$12K |
| 92065 |
|
57 |
26 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
53 |
25 |
$1K |
| S0516 |
Safety eyeglass frames |
53 |
53 |
$846.94 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
34 |
12 |
$651.96 |
| S0504 |
Single vision prescription lens (safety, athletic, or sunglass), per lens |
53 |
53 |
$478.52 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
14 |
$443.10 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
16 |
$232.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
148 |
77 |
$230.00 |
| S9999 |
Sales tax |
66 |
66 |
$145.98 |