| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,732 |
6,317 |
$245K |
| 92015 |
Determination of refractive state |
6,393 |
6,091 |
$111K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,544 |
2,423 |
$110K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,446 |
3,262 |
$102K |
| 92225 |
|
492 |
277 |
$10K |
| 92134 |
|
553 |
541 |
$9K |
| V2020 |
Frames, purchases |
363 |
353 |
$9K |
| 92341 |
|
297 |
295 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
198 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
335 |
327 |
$6K |
| 92226 |
|
362 |
195 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
90 |
84 |
$3K |
| 92250 |
|
118 |
110 |
$3K |
| V2025 |
Deluxe frame |
58 |
58 |
$626.40 |
| 92202 |
|
253 |
248 |
$482.08 |
| 92083 |
|
19 |
14 |
$467.52 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$308.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
12 |
$65.00 |
| 3072F |
|
56 |
52 |
$0.00 |
| 2023F |
|
13 |
13 |
$0.00 |