| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,614 |
3,728 |
$316K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,575 |
1,947 |
$31K |
| V2020 |
Frames, purchases |
4,424 |
3,257 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,086 |
3,058 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
530 |
390 |
$6K |
| 92015 |
Determination of refractive state |
4,844 |
3,916 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
163 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
391 |
263 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$727.60 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
14 |
$157.64 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
282 |
177 |
$117.84 |
| 92341 |
|
31 |
17 |
$15.00 |
| 2023F |
|
43 |
40 |
$0.14 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
112 |
97 |
$0.00 |