| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,526 |
11,231 |
$880K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,156 |
3,977 |
$367K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,652 |
6,809 |
$337K |
| 92015 |
Determination of refractive state |
22,392 |
21,628 |
$261K |
| V2020 |
Frames, purchases |
8,542 |
7,613 |
$250K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,889 |
8,127 |
$193K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,201 |
2,705 |
$119K |
| 92065 |
|
1,550 |
511 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
694 |
654 |
$37K |
| 92060 |
|
548 |
526 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
446 |
373 |
$19K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
295 |
254 |
$18K |
| 92341 |
|
652 |
597 |
$15K |
| 92066 |
|
529 |
242 |
$9K |
| 92082 |
|
121 |
113 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
42 |
36 |
$1K |
| 92250 |
|
26 |
26 |
$638.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$611.70 |