| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,266 |
1,220 |
$122K |
| 92015 |
Determination of refractive state |
2,333 |
2,263 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
610 |
586 |
$72K |
| V2020 |
Frames, purchases |
1,053 |
912 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
618 |
559 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,003 |
866 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
272 |
206 |
$5K |
| 92002 |
|
66 |
66 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
24 |
24 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
303 |
202 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
35 |
35 |
$1K |