| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,638 |
3,395 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,538 |
2,361 |
$116K |
| 92015 |
Determination of refractive state |
6,476 |
6,021 |
$115K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,577 |
2,355 |
$75K |
| V2025 |
Deluxe frame |
1,637 |
1,539 |
$59K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,512 |
2,320 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,333 |
2,138 |
$19K |
| V2020 |
Frames, purchases |
1,551 |
1,409 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
581 |
530 |
$14K |
| 92341 |
|
206 |
195 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
260 |
243 |
$6K |
| 92083 |
|
86 |
81 |
$3K |
| 92250 |
|
25 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$498.50 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
15 |
$151.00 |