| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,793 |
4,425 |
$403K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,005 |
1,918 |
$219K |
| V2020 |
Frames, purchases |
5,409 |
4,995 |
$163K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,975 |
3,439 |
$118K |
| 92015 |
Determination of refractive state |
6,114 |
5,778 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,649 |
6,190 |
$85K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
636 |
547 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
770 |
678 |
$17K |
| 92002 |
|
208 |
190 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
709 |
654 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
48 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
60 |
59 |
$2K |
| 2023F |
|
2,253 |
2,104 |
$0.00 |