| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,542 |
3,405 |
$184K |
| 92250 |
|
3,724 |
3,593 |
$128K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,959 |
2,889 |
$88K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,346 |
1,298 |
$80K |
| 92015 |
Determination of refractive state |
2,194 |
2,172 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
775 |
733 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,588 |
1,535 |
$30K |
| V2020 |
Frames, purchases |
2,014 |
1,939 |
$27K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
938 |
791 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
69 |
$2K |
| 92133 |
|
80 |
75 |
$1K |
| 92083 |
|
35 |
29 |
$933.38 |
| 92060 |
|
12 |
12 |
$478.47 |
| 92283 |
|
27 |
25 |
$318.06 |
| 92134 |
|
15 |
13 |
$169.99 |
| 2023F |
|
31 |
31 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
17 |
17 |
$0.00 |