| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,370 |
4,293 |
$228K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,915 |
1,588 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
763 |
751 |
$40K |
| V2020 |
Frames, purchases |
2,831 |
2,791 |
$34K |
| 92250 |
|
804 |
792 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
525 |
$21K |
| 92015 |
Determination of refractive state |
1,169 |
1,152 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
241 |
240 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
58 |
$2K |
| 92202 |
|
160 |
158 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,385 |
710 |
$588.00 |
| 92201 |
|
30 |
30 |
$434.59 |
| 92225 |
|
62 |
59 |
$382.95 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$287.56 |
| 92341 |
|
13 |
13 |
$260.00 |