| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
865 |
775 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
423 |
352 |
$30K |
| 92015 |
Determination of refractive state |
2,328 |
2,065 |
$24K |
| V2020 |
Frames, purchases |
1,033 |
876 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
747 |
642 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
561 |
403 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
436 |
381 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
550 |
453 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
203 |
160 |
$4K |
| 92250 |
|
112 |
97 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
495 |
403 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$738.10 |