| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,224 |
5,988 |
$311K |
| 92015 |
Determination of refractive state |
7,311 |
7,052 |
$219K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,188 |
2,099 |
$162K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,835 |
4,612 |
$136K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,767 |
3,550 |
$98K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,647 |
3,275 |
$62K |
| V2020 |
Frames, purchases |
4,155 |
3,878 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
823 |
742 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$511.39 |
| 92250 |
|
12 |
12 |
$342.32 |
| 92134 |
|
15 |
13 |
$72.75 |
| V2750 |
Anti-reflective coating, per lens |
177 |
155 |
$30.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
64 |
56 |
$23.80 |
| V2744 |
Tint, photochromatic, per lens |
96 |
89 |
$0.00 |