| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,514 |
7,964 |
$329K |
| 92015 |
Determination of refractive state |
11,599 |
10,927 |
$203K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,700 |
6,292 |
$197K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,848 |
1,719 |
$84K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,364 |
3,109 |
$72K |
| V2020 |
Frames, purchases |
1,121 |
1,052 |
$31K |
| 92341 |
|
749 |
717 |
$22K |
| 92002 |
|
665 |
619 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
368 |
340 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
133 |
117 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
101 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
277 |
246 |
$2K |
| V2025 |
Deluxe frame |
42 |
29 |
$453.60 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$326.00 |
| 3072F |
|
172 |
172 |
$0.00 |
| 2023F |
|
26 |
26 |
$0.00 |