| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,983 |
2,830 |
$181K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
959 |
916 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,012 |
988 |
$32K |
| V2020 |
Frames, purchases |
1,088 |
1,055 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
665 |
640 |
$12K |
| 92015 |
Determination of refractive state |
504 |
457 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
147 |
131 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
665 |
648 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
146 |
143 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
221 |
218 |
$412.00 |