| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,134 |
4,953 |
$330K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,027 |
1,960 |
$173K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,894 |
8,515 |
$153K |
| 92015 |
Determination of refractive state |
8,014 |
7,728 |
$68K |
| V2750 |
Anti-reflective coating, per lens |
682 |
655 |
$65K |
| V2020 |
Frames, purchases |
1,631 |
1,564 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,553 |
1,485 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,018 |
984 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
381 |
294 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
56 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
67 |
67 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$571.80 |