| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,403 |
1,298 |
$105K |
| V2020 |
Frames, purchases |
2,051 |
1,806 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,772 |
1,578 |
$34K |
| 92015 |
Determination of refractive state |
2,213 |
2,009 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
257 |
239 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
520 |
484 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
366 |
$16K |
| 83861 |
|
1,020 |
588 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
531 |
427 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
189 |
177 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
236 |
216 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$416.31 |