| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,629 |
3,300 |
$314K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,174 |
1,496 |
$187K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,685 |
1,495 |
$169K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,779 |
1,238 |
$82K |
| V2020 |
Frames, purchases |
2,219 |
1,614 |
$73K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,422 |
1,670 |
$71K |
| 92060 |
|
1,239 |
1,058 |
$51K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,363 |
1,629 |
$43K |
| V2025 |
Deluxe frame |
215 |
144 |
$15K |
| V2750 |
Anti-reflective coating, per lens |
459 |
277 |
$14K |
| 92015 |
Determination of refractive state |
5,271 |
4,874 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
74 |
39 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
18 |
$1K |