| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,463 |
3,152 |
$182K |
| 92015 |
Determination of refractive state |
5,880 |
5,334 |
$179K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,998 |
5,572 |
$163K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,773 |
1,646 |
$135K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,067 |
5,105 |
$101K |
| V2020 |
Frames, purchases |
6,146 |
5,620 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,895 |
3,200 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,575 |
919 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
104 |
$4K |
| 3072F |
|
89 |
82 |
$0.00 |