| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,930 |
2,729 |
$169K |
| 92015 |
Determination of refractive state |
3,761 |
3,510 |
$78K |
| V2020 |
Frames, purchases |
2,639 |
2,402 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,711 |
1,579 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,283 |
1,123 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,634 |
2,390 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
139 |
$11K |
| 92341 |
|
196 |
182 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
98 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
89 |
79 |
$2K |
| 00000 |
|
76 |
19 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
124 |
110 |
$1K |
| 92250 |
|
45 |
40 |
$683.34 |