| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,337 |
10,203 |
$499K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,624 |
11,682 |
$372K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,739 |
5,984 |
$309K |
| 92015 |
Determination of refractive state |
15,225 |
14,128 |
$273K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,115 |
3,431 |
$162K |
| V2025 |
Deluxe frame |
3,171 |
2,615 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,633 |
1,400 |
$73K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
895 |
729 |
$73K |
| V2020 |
Frames, purchases |
1,486 |
1,320 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
614 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
95 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,031 |
981 |
$5K |
| 92370 |
|
476 |
422 |
$2K |
| 2022F |
|
12 |
12 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
25 |
13 |
$0.00 |