| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14,718 |
14,546 |
$925K |
| 92015 |
Determination of refractive state |
21,185 |
21,043 |
$614K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,860 |
6,847 |
$382K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,488 |
742 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,898 |
1,894 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
459 |
420 |
$18K |
| V2020 |
Frames, purchases |
1,048 |
1,044 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
163 |
$8K |
| 92250 |
|
168 |
168 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
54 |
27 |
$985.92 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,034 |
516 |
$0.00 |