| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,110 |
1,065 |
$73K |
| V2020 |
Frames, purchases |
1,801 |
1,576 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,317 |
1,251 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
230 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
744 |
592 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
110 |
$10K |
| 92250 |
|
229 |
167 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
864 |
752 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
277 |
222 |
$4K |
| 92015 |
Determination of refractive state |
1,667 |
1,555 |
$2K |
| V2755 |
U-v lens, per lens |
293 |
256 |
$248.15 |