| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,085 |
1,031 |
$42K |
| 92015 |
Determination of refractive state |
842 |
793 |
$19K |
| V2020 |
Frames, purchases |
498 |
476 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
313 |
304 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
61 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
53 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
75 |
67 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
30 |
25 |
$713.24 |