| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,181 |
1,151 |
$95K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,122 |
1,073 |
$20K |
| V2020 |
Frames, purchases |
1,517 |
1,463 |
$10K |
| 92015 |
Determination of refractive state |
1,329 |
1,295 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,203 |
1,151 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
953 |
904 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
137 |
134 |
$2K |
| 92341 |
|
196 |
193 |
$2K |
| 92133 |
|
72 |
71 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$544.30 |
| V2025 |
Deluxe frame |
55 |
53 |
$404.48 |