| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,852 |
1,778 |
$122K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
644 |
610 |
$56K |
| V2020 |
Frames, purchases |
1,417 |
1,321 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,206 |
1,151 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
757 |
660 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
664 |
620 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
338 |
313 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
631 |
544 |
$7K |
| 92015 |
Determination of refractive state |
1,460 |
1,391 |
$5K |
| 92370 |
|
96 |
92 |
$3K |
| 92250 |
|
33 |
32 |
$1K |
| 92083 |
|
16 |
14 |
$603.01 |