| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,701 |
5,406 |
$221K |
| 92015 |
Determination of refractive state |
9,251 |
8,810 |
$160K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,164 |
4,890 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,491 |
2,352 |
$107K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,904 |
2,640 |
$65K |
| V2020 |
Frames, purchases |
1,072 |
1,015 |
$30K |
| 92002 |
|
657 |
615 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
336 |
289 |
$13K |
| 92341 |
|
401 |
391 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
293 |
273 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
76 |
$3K |
| V2025 |
Deluxe frame |
150 |
139 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
180 |
164 |
$1K |
| 92133 |
|
13 |
13 |
$260.00 |
| 92134 |
|
14 |
12 |
$255.80 |
| 3072F |
|
164 |
162 |
$0.00 |