| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,462 |
1,335 |
$117K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,539 |
1,418 |
$91K |
| V2020 |
Frames, purchases |
1,172 |
1,130 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,193 |
1,152 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
596 |
572 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
451 |
433 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
368 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
120 |
115 |
$6K |
| 92002 |
|
110 |
106 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
601 |
580 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
159 |
148 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$563.04 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
15 |
14 |
$366.21 |
| 92015 |
Determination of refractive state |
46 |
46 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
13 |
$0.00 |