| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,600 |
12,191 |
$592K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,602 |
14,083 |
$461K |
| 92015 |
Determination of refractive state |
20,995 |
18,910 |
$374K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,197 |
6,523 |
$330K |
| V2020 |
Frames, purchases |
18,154 |
16,430 |
$193K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
10,141 |
8,810 |
$164K |
| 92341 |
|
4,226 |
3,784 |
$122K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,353 |
9,079 |
$97K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,412 |
5,125 |
$61K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,350 |
2,013 |
$55K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,203 |
1,152 |
$20K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
550 |
534 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
76 |
74 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
100 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
46 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
100 |
98 |
$1K |
| 92342 |
|
25 |
25 |
$722.16 |
| V2025 |
Deluxe frame |
24 |
24 |
$240.00 |