| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,121 |
4,025 |
$163K |
| V2020 |
Frames, purchases |
4,644 |
4,469 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,660 |
1,619 |
$65K |
| 92134 |
|
3,744 |
3,645 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,060 |
1,999 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,750 |
1,721 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,060 |
1,971 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,545 |
2,473 |
$28K |
| 92015 |
Determination of refractive state |
1,837 |
1,725 |
$5K |
| 92341 |
|
138 |
134 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
74 |
$3K |
| 92310 |
|
16 |
16 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$339.30 |