| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,596 |
1,555 |
$110K |
| V2020 |
Frames, purchases |
3,513 |
3,317 |
$108K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,012 |
932 |
$86K |
| 92015 |
Determination of refractive state |
3,818 |
3,629 |
$85K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,698 |
2,574 |
$45K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,339 |
1,293 |
$39K |
| 92002 |
|
421 |
414 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
535 |
519 |
$19K |
| 92341 |
|
563 |
517 |
$10K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
195 |
182 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
69 |
68 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
56 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$572.67 |
| 92133 |
|
16 |
15 |
$424.70 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
331 |
316 |
$30.00 |