| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,517 |
5,451 |
$206K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,099 |
4,039 |
$156K |
| V2020 |
Frames, purchases |
8,857 |
8,627 |
$136K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,770 |
5,635 |
$126K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,992 |
5,808 |
$45K |
| 92015 |
Determination of refractive state |
10,367 |
10,241 |
$37K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,100 |
1,083 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,511 |
1,447 |
$25K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
482 |
464 |
$7K |
| 92341 |
|
167 |
162 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
53 |
$575.67 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
15 |
$49.00 |