| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,235 |
2,178 |
$83K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,634 |
1,609 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,148 |
2,111 |
$47K |
| V2020 |
Frames, purchases |
2,782 |
2,715 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
697 |
691 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,170 |
1,153 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
263 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
323 |
315 |
$10K |
| 92015 |
Determination of refractive state |
2,060 |
1,992 |
$2K |
| 92341 |
|
42 |
41 |
$1K |
| 92250 |
|
28 |
18 |
$917.00 |
| 92133 |
|
12 |
12 |
$191.52 |