| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
694 |
663 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
764 |
727 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
638 |
596 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
711 |
675 |
$21K |
| V2020 |
Frames, purchases |
881 |
834 |
$10K |
| 92081 |
|
390 |
359 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
564 |
530 |
$9K |
| 92250 |
|
344 |
305 |
$8K |
| 92015 |
Determination of refractive state |
318 |
285 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
87 |
80 |
$1K |