| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,228 |
3,181 |
$120K |
| V2020 |
Frames, purchases |
4,560 |
4,479 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,836 |
3,776 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,871 |
1,862 |
$73K |
| 92015 |
Determination of refractive state |
5,386 |
5,271 |
$43K |
| 92133 |
|
823 |
768 |
$35K |
| 92100 |
|
982 |
912 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
544 |
$20K |
| 92083 |
|
596 |
572 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,711 |
1,679 |
$13K |
| 92250 |
|
241 |
230 |
$11K |
| 92341 |
|
296 |
293 |
$8K |
| 92353 |
|
174 |
168 |
$5K |
| 92225 |
|
60 |
28 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
118 |
109 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
28 |
$614.40 |
| 92025 |
|
12 |
12 |
$346.77 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
16 |
$262.56 |