| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,943 |
4,631 |
$337K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,013 |
1,916 |
$173K |
| V2020 |
Frames, purchases |
5,566 |
5,149 |
$103K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,716 |
2,559 |
$84K |
| 92015 |
Determination of refractive state |
7,272 |
6,812 |
$82K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,104 |
1,022 |
$44K |
| V2755 |
U-v lens, per lens |
1,271 |
1,217 |
$22K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
328 |
292 |
$18K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
391 |
339 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
152 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
38 |
$1K |