| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
6,227 |
5,875 |
$213K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,443 |
3,880 |
$190K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,119 |
1,956 |
$154K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,600 |
5,229 |
$150K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,525 |
3,172 |
$96K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,853 |
2,454 |
$75K |
| V2020 |
Frames, purchases |
4,461 |
4,019 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,852 |
1,346 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
797 |
391 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
340 |
$7K |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
212 |
99 |
$2K |
| 92133 |
|
50 |
39 |
$588.70 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
54 |
27 |
$497.64 |
| 2023F |
|
419 |
410 |
$0.00 |
| 3072F |
|
83 |
77 |
$0.00 |
| 99072 |
|
851 |
665 |
$0.00 |