| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,274 |
3,995 |
$161K |
| 92015 |
Determination of refractive state |
6,384 |
6,046 |
$112K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,207 |
3,045 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,469 |
1,365 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,517 |
1,406 |
$32K |
| 92002 |
|
556 |
530 |
$14K |
| 92341 |
|
394 |
386 |
$12K |
| V2020 |
Frames, purchases |
316 |
310 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
71 |
69 |
$941.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
38 |
$200.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$185.80 |
| 3072F |
|
60 |
57 |
$0.00 |