| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,524 |
2,406 |
$185K |
| V2020 |
Frames, purchases |
4,670 |
4,091 |
$163K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,454 |
1,549 |
$71K |
| 92015 |
Determination of refractive state |
4,849 |
4,583 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
720 |
697 |
$58K |
| 92250 |
|
441 |
400 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
932 |
786 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
129 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
144 |
93 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
24 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
41 |
$739.89 |
| V2799 |
Vision item or service, miscellaneous |
44 |
39 |
$0.00 |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
38 |
31 |
$0.00 |