| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,720 |
2,572 |
$117K |
| 92015 |
Determination of refractive state |
4,854 |
4,514 |
$81K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,875 |
2,710 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,661 |
1,556 |
$77K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,151 |
2,072 |
$39K |
| V2020 |
Frames, purchases |
2,773 |
2,637 |
$35K |
| V2025 |
Deluxe frame |
664 |
646 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,448 |
2,345 |
$27K |
| 92341 |
|
470 |
462 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
252 |
246 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
473 |
429 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$460.75 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$0.00 |