| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,422 |
2,350 |
$161K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,263 |
1,227 |
$112K |
| V2020 |
Frames, purchases |
3,331 |
3,247 |
$104K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,847 |
2,782 |
$91K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,889 |
1,843 |
$42K |
| 92250 |
|
519 |
437 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,653 |
1,611 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
507 |
497 |
$11K |
| V2760 |
Scratch resistant coating, per lens |
1,639 |
1,598 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
52 |
$1K |