| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,985 |
7,985 |
$827K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,618 |
2,618 |
$323K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,230 |
8,197 |
$249K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,661 |
8,593 |
$239K |
| 92015 |
Determination of refractive state |
10,357 |
10,354 |
$184K |
| V2020 |
Frames, purchases |
8,485 |
8,450 |
$84K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
245 |
245 |
$6K |
| 92370 |
|
123 |
122 |
$3K |
| 92065 |
|
48 |
27 |
$2K |
| 92250 |
|
49 |
49 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$1K |
| 92060 |
|
14 |
14 |
$787.36 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,833 |
8,769 |
$0.00 |