| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,954 |
1,875 |
$171K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,439 |
2,298 |
$166K |
| 92015 |
Determination of refractive state |
4,131 |
3,830 |
$97K |
| V2020 |
Frames, purchases |
3,255 |
3,041 |
$80K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,275 |
2,128 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
709 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
960 |
868 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,443 |
1,309 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,178 |
1,157 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
302 |
294 |
$16K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
149 |
143 |
$7K |
| 92134 |
|
247 |
225 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
108 |
108 |
$1K |
| 92133 |
|
86 |
85 |
$887.40 |
| 92250 |
|
38 |
26 |
$570.14 |
| 92341 |
|
14 |
14 |
$303.30 |
| 92285 |
|
13 |
13 |
$288.94 |
| 2023F |
|
102 |
100 |
$0.00 |
| 3072F |
|
38 |
35 |
$0.00 |