| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,914 |
11,442 |
$568K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
19,213 |
16,839 |
$554K |
| 92015 |
Determination of refractive state |
22,744 |
20,130 |
$403K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,840 |
6,864 |
$360K |
| V2020 |
Frames, purchases |
20,996 |
18,581 |
$201K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13,208 |
11,017 |
$192K |
| 92341 |
|
4,906 |
4,324 |
$135K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,582 |
11,759 |
$115K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,272 |
5,042 |
$58K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
2,411 |
2,050 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
766 |
$31K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
658 |
630 |
$11K |
| 92250 |
|
272 |
257 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
133 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
466 |
450 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
106 |
103 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
106 |
$4K |
| V2025 |
Deluxe frame |
51 |
39 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
128 |
128 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$932.84 |