| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,711 |
1,548 |
$144K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,070 |
759 |
$94K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
851 |
774 |
$86K |
| V2020 |
Frames, purchases |
1,625 |
1,265 |
$58K |
| V2750 |
Anti-reflective coating, per lens |
1,426 |
1,085 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,541 |
1,199 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
727 |
557 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,602 |
1,247 |
$28K |
| 92250 |
|
25 |
24 |
$842.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$754.08 |
| V2760 |
Scratch resistant coating, per lens |
24 |
22 |
$0.00 |