| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,845 |
2,813 |
$276K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,579 |
2,538 |
$208K |
| V2020 |
Frames, purchases |
2,434 |
2,399 |
$170K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
869 |
832 |
$99K |
| 92015 |
Determination of refractive state |
5,171 |
5,082 |
$94K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,001 |
980 |
$51K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
83 |
83 |
$4K |
| 92065 |
|
62 |
24 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$1K |