| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,292 |
3,150 |
$209K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,729 |
1,586 |
$86K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,796 |
1,750 |
$68K |
| 92015 |
Determination of refractive state |
3,642 |
3,214 |
$51K |
| 92250 |
|
874 |
708 |
$40K |
| V2020 |
Frames, purchases |
2,484 |
2,294 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
804 |
735 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
270 |
256 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
181 |
163 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
418 |
380 |
$5K |
| V2756 |
Eye glass case |
2,913 |
2,791 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
25 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
30 |
$1K |
| 92341 |
|
14 |
14 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
28 |
28 |
$634.43 |
| 92002 |
|
12 |
12 |
$526.35 |
| T1015 |
Clinic visit/encounter, all-inclusive |
18 |
13 |
$0.00 |
| 2023F |
|
19 |
18 |
$0.00 |