| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,011 |
2,743 |
$247K |
| V2020 |
Frames, purchases |
4,531 |
4,059 |
$126K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,117 |
1,031 |
$118K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,800 |
3,395 |
$116K |
| 92015 |
Determination of refractive state |
5,084 |
4,592 |
$95K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,077 |
2,766 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
515 |
461 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
884 |
821 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,039 |
2,711 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
151 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
90 |
37 |
$1K |
| 92002 |
|
36 |
28 |
$1K |
| 92341 |
|
43 |
25 |
$226.02 |