| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,099 |
2,074 |
$110K |
| V2020 |
Frames, purchases |
2,023 |
1,938 |
$54K |
| 92015 |
Determination of refractive state |
3,375 |
3,313 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,320 |
1,270 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
931 |
891 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,614 |
1,552 |
$17K |
| 92002 |
|
136 |
134 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
25 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$992.72 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$283.36 |