| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,092 |
1,919 |
$132K |
| 92015 |
Determination of refractive state |
3,565 |
3,258 |
$131K |
| 92065 |
|
3,332 |
912 |
$89K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,433 |
1,340 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,595 |
2,388 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,596 |
1,434 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
520 |
496 |
$46K |
| 92060 |
|
1,030 |
932 |
$33K |
| V2020 |
Frames, purchases |
1,793 |
1,650 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
789 |
724 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
138 |
127 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$637.81 |