| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,393 |
2,284 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,681 |
1,622 |
$149K |
| V2020 |
Frames, purchases |
4,027 |
3,826 |
$102K |
| 92015 |
Determination of refractive state |
4,319 |
4,156 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,190 |
1,987 |
$43K |
| 92370 |
|
1,647 |
1,550 |
$24K |
| 92065 |
|
129 |
26 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
164 |
157 |
$4K |
| 92060 |
|
62 |
53 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
157 |
142 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
32 |
$2K |
| V2756 |
Eye glass case |
2,192 |
2,129 |
$2K |
| 96112 |
|
12 |
12 |
$1K |
| V2199 |
Not otherwise classified, single vision lens |
18 |
17 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$475.53 |