| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,072 |
6,661 |
$301K |
| 92015 |
Determination of refractive state |
11,404 |
10,700 |
$199K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,411 |
4,114 |
$196K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,776 |
5,224 |
$166K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,918 |
5,383 |
$114K |
| V2025 |
Deluxe frame |
2,460 |
2,333 |
$108K |
| V2020 |
Frames, purchases |
5,447 |
4,927 |
$53K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,506 |
1,379 |
$48K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,014 |
4,486 |
$43K |
| 92341 |
|
1,342 |
1,236 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
246 |
240 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
258 |
234 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
206 |
191 |
$2K |
| 92250 |
|
15 |
12 |
$593.66 |