| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,601 |
2,404 |
$210K |
| V2020 |
Frames, purchases |
4,460 |
4,098 |
$128K |
| 92015 |
Determination of refractive state |
5,071 |
4,695 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
946 |
888 |
$94K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,543 |
2,357 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,390 |
4,033 |
$82K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
265 |
247 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
869 |
604 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,183 |
1,000 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$1K |
| 92002 |
|
15 |
15 |
$1K |
| 92250 |
|
16 |
16 |
$338.28 |
| G9905 |
Patient not screened for tobacco use |
29 |
26 |
$32.75 |
| 92341 |
|
18 |
12 |
$32.52 |
| 2023F |
|
74 |
74 |
$0.00 |
| 2033F |
|
32 |
29 |
$0.00 |