| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,539 |
6,152 |
$271K |
| 92015 |
Determination of refractive state |
10,389 |
9,851 |
$181K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,119 |
5,802 |
$180K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,497 |
3,277 |
$158K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,755 |
2,507 |
$59K |
| V2020 |
Frames, purchases |
1,035 |
979 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
399 |
376 |
$13K |
| 92341 |
|
441 |
422 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
246 |
232 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
289 |
279 |
$4K |
| 92002 |
|
135 |
134 |
$3K |
| V2025 |
Deluxe frame |
108 |
101 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
211 |
211 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
25 |
$462.10 |
| 2023F |
|
28 |
28 |
$0.00 |
| 3072F |
|
232 |
231 |
$0.00 |