| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,632 |
4,368 |
$176K |
| 92015 |
Determination of refractive state |
6,925 |
6,535 |
$121K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,926 |
3,658 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,522 |
1,416 |
$67K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,887 |
2,578 |
$63K |
| 92002 |
|
403 |
382 |
$10K |
| V2020 |
Frames, purchases |
337 |
313 |
$9K |
| 92341 |
|
305 |
297 |
$9K |
| 92225 |
|
52 |
38 |
$1K |
| 92133 |
|
39 |
39 |
$754.63 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
43 |
38 |
$546.00 |
| 92083 |
|
14 |
14 |
$486.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$423.30 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
12 |
$330.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
55 |
45 |
$290.00 |
| 2023F |
|
58 |
58 |
$0.00 |
| 3072F |
|
68 |
59 |
$0.00 |