| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,407 |
11,990 |
$572K |
| 92015 |
Determination of refractive state |
18,733 |
18,246 |
$478K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,349 |
12,102 |
$332K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,786 |
4,648 |
$297K |
| V2020 |
Frames, purchases |
12,766 |
12,357 |
$137K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,129 |
6,882 |
$108K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,255 |
5,034 |
$37K |
| 92250 |
|
871 |
819 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,524 |
1,247 |
$18K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
29 |
25 |
$357.16 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
36 |
$36.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
26 |
$35.74 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
249 |
246 |
$0.00 |