| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,691 |
2,544 |
$186K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,601 |
1,536 |
$110K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,584 |
3,347 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,333 |
2,201 |
$107K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,840 |
3,629 |
$96K |
| V2020 |
Frames, purchases |
4,117 |
3,860 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,165 |
2,001 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
362 |
361 |
$6K |
| 92015 |
Determination of refractive state |
312 |
301 |
$4K |
| 92250 |
|
162 |
152 |
$4K |
| 92341 |
|
25 |
25 |
$713.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$670.86 |
| 92083 |
|
14 |
13 |
$432.90 |