| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,710 |
1,542 |
$124K |
| V2020 |
Frames, purchases |
2,234 |
2,000 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
326 |
310 |
$30K |
| 92015 |
Determination of refractive state |
2,730 |
2,454 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
707 |
630 |
$25K |
| V2755 |
U-v lens, per lens |
361 |
308 |
$7K |
| 92250 |
|
49 |
48 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
51 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
41 |
41 |
$878.70 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
24 |
$808.02 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
15 |
$330.00 |