| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,246 |
1,211 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
503 |
477 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
680 |
659 |
$14K |
| V2020 |
Frames, purchases |
260 |
257 |
$3K |
| 92341 |
|
111 |
103 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
109 |
106 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
42 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
179 |
173 |
$653.92 |
| 92015 |
Determination of refractive state |
122 |
118 |
$145.81 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$116.82 |
| 99072 |
|
62 |
59 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
47 |
43 |
$0.00 |