| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,397 |
8,810 |
$371K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,945 |
5,606 |
$175K |
| 92015 |
Determination of refractive state |
9,427 |
8,904 |
$164K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,205 |
2,095 |
$97K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,479 |
3,262 |
$67K |
| V2020 |
Frames, purchases |
1,014 |
955 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
652 |
$25K |
| 92134 |
|
950 |
906 |
$17K |
| 92341 |
|
508 |
497 |
$15K |
| 92250 |
|
142 |
136 |
$5K |
| 92225 |
|
161 |
110 |
$4K |
| 92083 |
|
127 |
122 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
259 |
240 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
263 |
245 |
$2K |
| 92133 |
|
67 |
63 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
25 |
$894.56 |
| 92202 |
|
90 |
80 |
$635.78 |
| V2025 |
Deluxe frame |
14 |
14 |
$151.20 |
| 3072F |
|
97 |
94 |
$0.00 |
| 2023F |
|
98 |
98 |
$0.00 |