| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,717 |
3,585 |
$277K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,757 |
3,582 |
$185K |
| V2020 |
Frames, purchases |
4,368 |
4,179 |
$133K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,694 |
4,526 |
$110K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,066 |
1,054 |
$109K |
| 92015 |
Determination of refractive state |
6,303 |
6,138 |
$75K |
| 92250 |
|
2,849 |
2,797 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
988 |
962 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
36 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$656.89 |
| 92341 |
|
13 |
13 |
$409.15 |