| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,370 |
6,844 |
$280K |
| 92015 |
Determination of refractive state |
9,572 |
8,981 |
$168K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,091 |
4,789 |
$150K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,928 |
2,708 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,357 |
1,273 |
$59K |
| V2020 |
Frames, purchases |
768 |
718 |
$21K |
| 92341 |
|
651 |
639 |
$19K |
| 92002 |
|
415 |
369 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
168 |
$6K |
| 92134 |
|
400 |
382 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
187 |
168 |
$3K |
| 92226 |
|
205 |
112 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
47 |
41 |
$1K |
| 92202 |
|
251 |
234 |
$866.02 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
105 |
100 |
$583.00 |
| V2025 |
Deluxe frame |
40 |
40 |
$444.50 |
| 3072F |
|
138 |
137 |
$0.00 |