| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,640 |
7,626 |
$529K |
| V2020 |
Frames, purchases |
9,936 |
9,915 |
$314K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,877 |
2,866 |
$235K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,566 |
9,529 |
$192K |
| 92015 |
Determination of refractive state |
11,250 |
11,226 |
$126K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,699 |
5,541 |
$107K |
| 92341 |
|
2,511 |
2,502 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
736 |
682 |
$31K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,245 |
1,519 |
$29K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
387 |
387 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,494 |
1,019 |
$14K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
295 |
295 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
219 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
91 |
76 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
72 |
49 |
$883.03 |
| 92083 |
|
12 |
12 |
$432.60 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
19 |
12 |
$235.40 |