| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,732 |
15,730 |
$1.69M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,739 |
5,739 |
$744K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17,523 |
17,490 |
$530K |
| 92015 |
Determination of refractive state |
22,206 |
22,194 |
$387K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,703 |
8,682 |
$219K |
| V2020 |
Frames, purchases |
18,651 |
18,601 |
$185K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,766 |
5,749 |
$149K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
3,113 |
3,103 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
395 |
393 |
$31K |
| 92250 |
|
238 |
238 |
$8K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
79 |
79 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$540.16 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
18,503 |
18,445 |
$454.95 |