| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,584 |
7,327 |
$360K |
| 92015 |
Determination of refractive state |
12,793 |
11,007 |
$225K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,856 |
4,326 |
$214K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,002 |
5,804 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,030 |
1,749 |
$62K |
| V2020 |
Frames, purchases |
638 |
634 |
$31K |
| V2025 |
Deluxe frame |
677 |
623 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
745 |
692 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
830 |
788 |
$8K |
| 92250 |
|
204 |
193 |
$7K |
| 92310 |
|
55 |
55 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
49 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148 |
146 |
$2K |
| 92285 |
|
55 |
51 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
21 |
$396.30 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
15 |
$241.72 |
| 3072F |
|
399 |
388 |
$0.00 |