| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,664 |
8,622 |
$302K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,510 |
6,493 |
$244K |
| V2020 |
Frames, purchases |
11,336 |
11,288 |
$221K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,819 |
6,806 |
$129K |
| 92342 |
|
3,038 |
3,020 |
$125K |
| 92015 |
Determination of refractive state |
15,179 |
15,097 |
$112K |
| 92134 |
|
1,309 |
920 |
$48K |
| 92341 |
|
1,235 |
1,235 |
$38K |
| 92225 |
|
416 |
408 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,299 |
1,297 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
679 |
672 |
$10K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
234 |
234 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
670 |
666 |
$3K |
| 92201 |
|
74 |
73 |
$3K |
| 92133 |
|
40 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
51 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$519.68 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$281.60 |