| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,617 |
3,418 |
$227K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,474 |
1,356 |
$122K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,463 |
2,386 |
$82K |
| V2020 |
Frames, purchases |
3,258 |
2,997 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,272 |
$56K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,929 |
1,810 |
$31K |
| 92015 |
Determination of refractive state |
5,594 |
5,278 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,932 |
1,812 |
$12K |
| V2755 |
U-v lens, per lens |
523 |
511 |
$6K |
| 92370 |
|
56 |
55 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
624 |
603 |
$1K |
| 92250 |
|
16 |
14 |
$552.93 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
26 |
26 |
$408.74 |