| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,111 |
2,077 |
$189K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,248 |
3,185 |
$124K |
| V2020 |
Frames, purchases |
3,562 |
3,335 |
$112K |
| 92002 |
|
1,722 |
1,683 |
$83K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,554 |
1,506 |
$69K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
867 |
857 |
$59K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,461 |
2,333 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,951 |
1,842 |
$14K |
| 92341 |
|
192 |
190 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
174 |
165 |
$5K |
| 92015 |
Determination of refractive state |
203 |
200 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
202 |
188 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
1,750 |
1,705 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
44 |
$3K |
| 92370 |
|
46 |
46 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$535.30 |