| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
964 |
956 |
$129K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,315 |
1,299 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,322 |
1,307 |
$30K |
| 92015 |
Determination of refractive state |
3,806 |
3,769 |
$24K |
| V2020 |
Frames, purchases |
1,099 |
1,092 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
486 |
480 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
598 |
596 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
122 |
$15K |
| V2025 |
Deluxe frame |
158 |
158 |
$14K |
| 92250 |
|
225 |
223 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
252 |
250 |
$3K |
| V2797 |
Vision supply, accessory and/or service component of another hcpcs vision code |
464 |
460 |
$693.76 |
| 99072 |
|
55 |
52 |
$3.89 |