| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,248 |
4,008 |
$213K |
| 92015 |
Determination of refractive state |
6,612 |
5,929 |
$122K |
| 92250 |
|
2,938 |
2,781 |
$99K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,322 |
1,249 |
$98K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,437 |
1,401 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,171 |
2,127 |
$64K |
| V2020 |
Frames, purchases |
1,974 |
1,910 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
355 |
345 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
90 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
119 |
117 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
12 |
$456.19 |
| 92133 |
|
12 |
12 |
$327.27 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$205.59 |
| 92134 |
|
31 |
24 |
$116.83 |