| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,277 |
3,971 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,132 |
2,018 |
$147K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,404 |
2,345 |
$116K |
| 92015 |
Determination of refractive state |
6,281 |
5,845 |
$113K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,607 |
3,473 |
$105K |
| V2020 |
Frames, purchases |
2,849 |
2,687 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,686 |
1,867 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,042 |
807 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
224 |
115 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
64 |
$1K |
| 2026F |
|
58 |
58 |
$0.00 |
| 2023F |
|
1,555 |
1,532 |
$0.00 |
| V2781 |
Progressive lens, per lens |
14 |
12 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
26 |
26 |
$0.00 |