| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,019 |
4,656 |
$232K |
| 92015 |
Determination of refractive state |
6,309 |
5,926 |
$186K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,575 |
4,345 |
$128K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,365 |
3,125 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,300 |
1,242 |
$94K |
| V2020 |
Frames, purchases |
4,361 |
4,021 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
770 |
666 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,662 |
1,575 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
923 |
878 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
380 |
305 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
68 |
49 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
36 |
$1K |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$0.00 |