| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,378 |
7,895 |
$697K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,762 |
2,610 |
$280K |
| V2020 |
Frames, purchases |
8,822 |
8,334 |
$271K |
| 92015 |
Determination of refractive state |
12,123 |
11,404 |
$251K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,325 |
8,761 |
$184K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,507 |
5,186 |
$156K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,759 |
7,201 |
$53K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
348 |
284 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
448 |
434 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
49 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
37 |
37 |
$1K |
| 92341 |
|
24 |
24 |
$623.59 |
| 2022F |
|
12 |
12 |
$11.76 |
| 2024F |
|
4,517 |
4,327 |
$0.00 |