| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,856 |
2,731 |
$187K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,017 |
977 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,121 |
2,029 |
$62K |
| V2020 |
Frames, purchases |
2,371 |
2,173 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
802 |
650 |
$30K |
| 92015 |
Determination of refractive state |
3,058 |
2,929 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
857 |
799 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
955 |
863 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,198 |
1,050 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
57 |
$3K |
| 92083 |
|
63 |
57 |
$2K |
| 92370 |
|
102 |
86 |
$2K |
| 92133 |
|
48 |
41 |
$1K |
| 92250 |
|
26 |
25 |
$996.47 |
| V2760 |
Scratch resistant coating, per lens |
284 |
269 |
$524.56 |