| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,416 |
10,877 |
$710K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,659 |
6,307 |
$558K |
| V2020 |
Frames, purchases |
11,991 |
11,571 |
$328K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,937 |
9,615 |
$270K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,868 |
6,920 |
$135K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,918 |
7,626 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,081 |
1,817 |
$70K |
| 92015 |
Determination of refractive state |
16,146 |
15,285 |
$69K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,402 |
2,233 |
$38K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
655 |
590 |
$22K |
| V2760 |
Scratch resistant coating, per lens |
7,207 |
6,884 |
$17K |
| 92341 |
|
642 |
613 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
212 |
179 |
$3K |
| 92370 |
|
13 |
13 |
$348.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$318.79 |
| 99199 |
Unlisted special service, procedure or report |
30 |
12 |
$0.00 |