| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,869 |
1,777 |
$98K |
| 92083 |
|
2,801 |
2,582 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
820 |
784 |
$55K |
| 92250 |
|
2,264 |
2,087 |
$29K |
| V2020 |
Frames, purchases |
1,498 |
1,385 |
$24K |
| 92284 |
|
1,400 |
1,279 |
$22K |
| 92020 |
|
2,171 |
1,985 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
700 |
356 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
617 |
304 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
201 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
370 |
214 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
531 |
528 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
118 |
$3K |
| 92015 |
Determination of refractive state |
508 |
396 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
12 |
$181.44 |
| 92133 |
|
13 |
12 |
$88.71 |