| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,637 |
5,509 |
$296K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,417 |
3,047 |
$122K |
| 92015 |
Determination of refractive state |
10,522 |
10,263 |
$118K |
| V2020 |
Frames, purchases |
4,033 |
3,507 |
$117K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,807 |
1,584 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,425 |
3,178 |
$72K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
649 |
604 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
342 |
329 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
331 |
280 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
64 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
63 |
$3K |
| 92136 |
|
50 |
48 |
$1K |