| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
8,630 |
3,225 |
$333K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,915 |
2,759 |
$109K |
| 92015 |
Determination of refractive state |
4,410 |
4,251 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,615 |
2,537 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,083 |
1,032 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
885 |
$24K |
| 92082 |
|
1,295 |
1,260 |
$20K |
| 92341 |
|
508 |
479 |
$15K |
| 92250 |
|
521 |
510 |
$15K |
| V2020 |
Frames, purchases |
506 |
501 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
70 |
70 |
$900.20 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
63 |
$725.88 |