| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,926 |
8,772 |
$758K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,186 |
6,084 |
$420K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,276 |
13,019 |
$231K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
24,502 |
13,136 |
$188K |
| V2020 |
Frames, purchases |
13,710 |
13,463 |
$185K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
7,820 |
7,679 |
$166K |
| 92015 |
Determination of refractive state |
15,102 |
14,864 |
$132K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17,763 |
9,788 |
$99K |
| 92370 |
|
4,617 |
4,437 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,358 |
1,628 |
$14K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,387 |
878 |
$10K |
| V2755 |
U-v lens, per lens |
2,214 |
2,193 |
$9K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
454 |
284 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
67 |
$2K |
| 92341 |
|
56 |
56 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
49 |
27 |
$713.00 |