| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,813 |
3,603 |
$253K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,555 |
4,234 |
$136K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,531 |
4,246 |
$116K |
| V2020 |
Frames, purchases |
4,170 |
3,893 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,444 |
2,279 |
$43K |
| 92083 |
|
862 |
833 |
$36K |
| 92250 |
|
676 |
658 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
415 |
406 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
313 |
$22K |
| 95930 |
|
257 |
257 |
$18K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
647 |
590 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
414 |
339 |
$7K |
| 92015 |
Determination of refractive state |
115 |
115 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 92275 |
|
60 |
60 |
$1K |
| V2730 |
Special base curve, glass or plastic, per lens |
275 |
251 |
$825.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$614.22 |
| 92285 |
|
24 |
12 |
$349.68 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
13 |
13 |
$269.50 |