| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,095 |
3,052 |
$158K |
| V2020 |
Frames, purchases |
4,106 |
4,023 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,435 |
1,410 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,525 |
2,481 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,018 |
2,975 |
$48K |
| 92015 |
Determination of refractive state |
1,306 |
1,283 |
$21K |
| V2025 |
Deluxe frame |
304 |
303 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
985 |
973 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
397 |
385 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,099 |
1,070 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
38 |
37 |
$20.00 |
| V2755 |
U-v lens, per lens |
17 |
17 |
$0.00 |