| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,377 |
5,261 |
$410K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,117 |
2,058 |
$196K |
| 92015 |
Determination of refractive state |
11,322 |
10,948 |
$128K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
2,756 |
2,530 |
$111K |
| V2020 |
Frames, purchases |
4,454 |
4,022 |
$110K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,290 |
3,981 |
$90K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,568 |
3,237 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
24 |
$2K |
| 92341 |
|
26 |
26 |
$725.33 |
| 92310 |
|
24 |
24 |
$288.40 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
87 |
42 |
$0.00 |