| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,942 |
1,853 |
$83K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,718 |
2,587 |
$70K |
| V2020 |
Frames, purchases |
1,762 |
1,721 |
$50K |
| 92015 |
Determination of refractive state |
2,910 |
2,741 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
895 |
847 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
848 |
702 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,649 |
1,613 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
362 |
333 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
944 |
924 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
564 |
558 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
60 |
$4K |
| V2025 |
Deluxe frame |
209 |
143 |
$3K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
13 |
12 |
$120.02 |