| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
987 |
960 |
$47K |
| 92250 |
|
1,468 |
1,396 |
$46K |
| V2020 |
Frames, purchases |
339 |
310 |
$22K |
| 92015 |
Determination of refractive state |
1,838 |
1,766 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
268 |
259 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
384 |
347 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
199 |
179 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
258 |
244 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
42 |
$2K |
| V2756 |
Eye glass case |
561 |
527 |
$798.58 |
| 92083 |
|
17 |
17 |
$419.47 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
13 |
$326.39 |