| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17,093 |
16,597 |
$1.48M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,214 |
14,963 |
$881K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,463 |
4,390 |
$482K |
| V2025 |
Deluxe frame |
8,653 |
8,539 |
$427K |
| 92015 |
Determination of refractive state |
19,184 |
18,986 |
$200K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,243 |
8,156 |
$92K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,916 |
4,686 |
$85K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,341 |
899 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,185 |
742 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
68 |
$4K |
| 92250 |
|
281 |
259 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
44 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
67 |
$3K |
| V2020 |
Frames, purchases |
121 |
107 |
$2K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
23 |
13 |
$339.94 |