| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,481 |
9,181 |
$458K |
| 92015 |
Determination of refractive state |
17,943 |
15,860 |
$316K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,347 |
8,835 |
$306K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,661 |
5,830 |
$303K |
| V2020 |
Frames, purchases |
13,491 |
11,751 |
$127K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
8,803 |
7,315 |
$126K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,204 |
7,788 |
$78K |
| 92341 |
|
2,326 |
1,923 |
$67K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,492 |
3,296 |
$39K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,481 |
1,218 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
283 |
264 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
336 |
328 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
64 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
154 |
150 |
$2K |
| V2025 |
Deluxe frame |
17 |
12 |
$1K |
| 92250 |
|
28 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$945.85 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
52 |
49 |
$545.66 |