| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,990 |
4,381 |
$193K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,273 |
3,621 |
$124K |
| 92015 |
Determination of refractive state |
6,212 |
5,466 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,483 |
1,331 |
$64K |
| V2020 |
Frames, purchases |
3,744 |
3,155 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,538 |
2,034 |
$21K |
| 92250 |
|
876 |
853 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,240 |
1,147 |
$15K |
| 92341 |
|
496 |
457 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,604 |
1,229 |
$10K |
| 92226 |
|
651 |
358 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
300 |
277 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
130 |
$3K |
| 92083 |
|
220 |
219 |
$3K |
| 92133 |
|
145 |
142 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$175.28 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
35 |
34 |
$0.00 |