| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,138 |
4,135 |
$469K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,544 |
3,846 |
$187K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,567 |
5,478 |
$167K |
| 92015 |
Determination of refractive state |
8,278 |
8,167 |
$130K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,212 |
2,209 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
1,039 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,552 |
1,515 |
$52K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,120 |
1,120 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
445 |
445 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
354 |
354 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,328 |
1,255 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
171 |
171 |
$17K |
| 92341 |
|
313 |
309 |
$13K |
| V2781 |
Progressive lens, per lens |
87 |
87 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$861.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
102 |
102 |
$0.00 |