| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,491 |
3,310 |
$148K |
| 92015 |
Determination of refractive state |
3,466 |
3,312 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,343 |
2,226 |
$65K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,608 |
1,500 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
472 |
451 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,932 |
1,414 |
$26K |
| V2020 |
Frames, purchases |
2,247 |
2,066 |
$24K |
| 92250 |
|
118 |
111 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
52 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
15 |
$223.88 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
81 |
55 |
$0.00 |
| 3072F |
|
98 |
97 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
13 |
13 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
230 |
218 |
$0.00 |