| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,537 |
2,393 |
$183K |
| V2020 |
Frames, purchases |
4,123 |
3,811 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,285 |
1,234 |
$144K |
| 92015 |
Determination of refractive state |
7,138 |
6,797 |
$108K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,549 |
1,750 |
$94K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,373 |
1,307 |
$87K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
150 |
91 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
36 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
38 |
$2K |
| 92002 |
|
16 |
12 |
$954.15 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
50 |
38 |
$215.90 |