| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,042 |
3,818 |
$169K |
| 92015 |
Determination of refractive state |
3,067 |
2,995 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,690 |
2,644 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
567 |
548 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,223 |
1,045 |
$37K |
| V2020 |
Frames, purchases |
2,735 |
2,639 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,324 |
1,298 |
$18K |
| 92250 |
|
1,480 |
1,283 |
$17K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
97 |
95 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
536 |
513 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
293 |
233 |
$5K |
| 92002 |
|
54 |
47 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
15 |
$87.30 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
513 |
488 |
$55.00 |