| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,886 |
10,787 |
$620K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,735 |
7,671 |
$508K |
| 92370 |
|
14,172 |
13,690 |
$240K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,117 |
10,916 |
$198K |
| 92015 |
Determination of refractive state |
19,391 |
19,145 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
512 |
$21K |
| V2020 |
Frames, purchases |
778 |
777 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
150 |
150 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
263 |
263 |
$6K |
| 92250 |
|
163 |
147 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
40 |
40 |
$0.00 |