| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,932 |
5,540 |
$360K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,992 |
2,719 |
$241K |
| V2020 |
Frames, purchases |
6,255 |
5,780 |
$180K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,645 |
4,364 |
$125K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,199 |
3,153 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
869 |
$34K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,626 |
4,320 |
$33K |
| 92065 |
|
874 |
314 |
$22K |
| 92015 |
Determination of refractive state |
9,719 |
8,948 |
$22K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
841 |
300 |
$14K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
837 |
300 |
$8K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
168 |
163 |
$8K |
| 92250 |
|
138 |
125 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
107 |
86 |
$1K |
| 96112 |
|
12 |
12 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
73 |
64 |
$974.07 |
| 92060 |
|
12 |
12 |
$499.20 |
| 92370 |
|
15 |
15 |
$435.00 |