| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,959 |
3,577 |
$174K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,938 |
3,626 |
$113K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,292 |
2,005 |
$106K |
| 92015 |
Determination of refractive state |
5,871 |
5,367 |
$100K |
| V2025 |
Deluxe frame |
2,847 |
2,505 |
$88K |
| 92341 |
|
1,547 |
1,426 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
935 |
771 |
$39K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
323 |
260 |
$26K |
| V2020 |
Frames, purchases |
810 |
772 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
379 |
313 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,120 |
1,054 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,372 |
1,277 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
429 |
392 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$72.75 |