| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,835 |
4,007 |
$226K |
| 92015 |
Determination of refractive state |
5,895 |
5,560 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,632 |
3,449 |
$186K |
| V2020 |
Frames, purchases |
5,894 |
5,661 |
$162K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,117 |
2,016 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,456 |
4,339 |
$93K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,651 |
2,573 |
$88K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,638 |
2,570 |
$74K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
304 |
301 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
113 |
112 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
136 |
131 |
$4K |
| 92341 |
|
175 |
173 |
$4K |
| 92342 |
|
26 |
24 |
$599.38 |