| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,036 |
8,476 |
$364K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,006 |
6,584 |
$206K |
| 92015 |
Determination of refractive state |
10,998 |
10,324 |
$193K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,385 |
2,185 |
$106K |
| V2020 |
Frames, purchases |
951 |
897 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,124 |
982 |
$25K |
| 92341 |
|
482 |
456 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
201 |
185 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
55 |
$2K |
| 92250 |
|
69 |
64 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
70 |
68 |
$1K |
| 92225 |
|
29 |
15 |
$805.78 |
| 92134 |
|
28 |
27 |
$579.25 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
90 |
78 |
$534.32 |
| 92083 |
|
13 |
13 |
$336.60 |
| 92133 |
|
12 |
12 |
$251.30 |
| V2025 |
Deluxe frame |
12 |
12 |
$129.60 |
| 3072F |
|
191 |
187 |
$0.00 |