| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,034 |
1,976 |
$161K |
| V2020 |
Frames, purchases |
3,577 |
3,293 |
$119K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,541 |
3,267 |
$107K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,585 |
1,487 |
$82K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,253 |
3,034 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
543 |
529 |
$55K |
| 92015 |
Determination of refractive state |
3,462 |
3,352 |
$41K |
| 92341 |
|
265 |
256 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
42 |
24 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
25 |
$1K |
| 92133 |
|
39 |
38 |
$938.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$927.83 |
| 92134 |
|
27 |
27 |
$515.78 |