| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,915 |
3,857 |
$159K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,199 |
3,163 |
$134K |
| V2020 |
Frames, purchases |
3,769 |
3,699 |
$61K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,762 |
2,725 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,415 |
2,363 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
613 |
586 |
$23K |
| 92341 |
|
827 |
794 |
$20K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
509 |
500 |
$17K |
| 92015 |
Determination of refractive state |
641 |
609 |
$10K |
| 3072F |
|
381 |
369 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
14 |
14 |
$0.00 |