| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,230 |
4,774 |
$527K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,319 |
4,790 |
$386K |
| 92015 |
Determination of refractive state |
11,860 |
10,146 |
$197K |
| V2020 |
Frames, purchases |
6,770 |
6,146 |
$191K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,316 |
9,310 |
$176K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,192 |
3,079 |
$111K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,020 |
778 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,456 |
1,199 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
921 |
784 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,905 |
2,825 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
185 |
$8K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
98 |
93 |
$7K |
| 92002 |
|
256 |
148 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
32 |
13 |
$295.92 |
| 92341 |
|
20 |
13 |
$96.00 |
| 2026F |
|
2,656 |
2,605 |
$0.00 |
| 3072F |
|
424 |
415 |
$0.00 |