| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,126 |
5,126 |
$541K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,074 |
2,074 |
$257K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,046 |
6,027 |
$183K |
| 92015 |
Determination of refractive state |
7,380 |
7,377 |
$130K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,422 |
3,415 |
$80K |
| V2020 |
Frames, purchases |
6,187 |
6,165 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
704 |
704 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,186 |
2,180 |
$51K |
| 92065 |
|
500 |
209 |
$22K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
343 |
341 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$893.15 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,296 |
6,277 |
$0.00 |