| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,029 |
1,930 |
$161K |
| 92015 |
Determination of refractive state |
3,122 |
2,661 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
639 |
604 |
$71K |
| V2020 |
Frames, purchases |
2,306 |
1,810 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,031 |
2,575 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,441 |
1,063 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
262 |
234 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
241 |
223 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
16 |
$726.32 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$463.86 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,571 |
1,647 |
$0.00 |