| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,437 |
3,954 |
$190K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,764 |
3,388 |
$169K |
| 92015 |
Determination of refractive state |
8,286 |
7,423 |
$145K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,400 |
3,172 |
$97K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,482 |
3,261 |
$93K |
| V2025 |
Deluxe frame |
1,273 |
1,186 |
$73K |
| V2020 |
Frames, purchases |
3,276 |
3,047 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
870 |
831 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,659 |
2,422 |
$25K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
581 |
513 |
$25K |
| 92341 |
|
373 |
358 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
64 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
86 |
$1K |
| 92133 |
|
13 |
13 |
$311.30 |