| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,120 |
2,059 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,006 |
1,895 |
$48K |
| 92015 |
Determination of refractive state |
2,165 |
2,108 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
639 |
624 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
550 |
499 |
$16K |
| V2020 |
Frames, purchases |
2,096 |
1,927 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,084 |
986 |
$10K |
| 92250 |
|
663 |
628 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
226 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
538 |
498 |
$4K |
| 92002 |
|
42 |
40 |
$1K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
48 |
42 |
$972.15 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
12 |
12 |
$675.00 |
| 92083 |
|
15 |
12 |
$385.14 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
32 |
24 |
$168.06 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
731 |
650 |
$150.00 |
| V2750 |
Anti-reflective coating, per lens |
13 |
12 |
$0.00 |