| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,811 |
5,774 |
$377K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,686 |
3,674 |
$287K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,533 |
10,330 |
$201K |
| 92015 |
Determination of refractive state |
9,437 |
9,385 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
727 |
631 |
$32K |
| V2020 |
Frames, purchases |
769 |
766 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
343 |
306 |
$14K |
| 92250 |
|
419 |
414 |
$7K |
| 92310 |
|
54 |
54 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
44 |
44 |
$1K |
| 92025 |
|
15 |
14 |
$258.16 |
| 92285 |
|
13 |
12 |
$134.29 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
33 |
29 |
$26.00 |