| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,991 |
2,900 |
$200K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,700 |
1,656 |
$153K |
| V2020 |
Frames, purchases |
4,027 |
3,906 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,629 |
3,529 |
$101K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,675 |
2,601 |
$52K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,718 |
2,633 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
622 |
603 |
$12K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
82 |
82 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
157 |
152 |
$4K |
| 92370 |
|
62 |
62 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$468.93 |
| 92341 |
|
12 |
12 |
$132.00 |
| 92015 |
Determination of refractive state |
1,295 |
1,254 |
$101.10 |