| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,668 |
2,556 |
$126K |
| 92015 |
Determination of refractive state |
2,398 |
2,317 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,938 |
1,880 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
678 |
647 |
$44K |
| 92250 |
|
1,040 |
991 |
$35K |
| V2020 |
Frames, purchases |
1,236 |
1,181 |
$14K |
| 92083 |
|
623 |
571 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
287 |
255 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
131 |
$4K |
| 92134 |
|
28 |
26 |
$270.79 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
14 |
$219.72 |
| 2023F |
|
630 |
598 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
19 |
13 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
26 |
20 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
16 |
14 |
$0.00 |