| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,903 |
3,668 |
$307K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,531 |
1,454 |
$140K |
| V2020 |
Frames, purchases |
3,782 |
3,570 |
$119K |
| 92015 |
Determination of refractive state |
5,507 |
5,220 |
$72K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
1,392 |
1,282 |
$70K |
| V2755 |
U-v lens, per lens |
1,467 |
1,358 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
614 |
571 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
621 |
597 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
803 |
787 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
74 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
61 |
$3K |