| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,001 |
8,689 |
$255K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
10,104 |
9,776 |
$249K |
| V2020 |
Frames, purchases |
10,705 |
10,349 |
$226K |
| 92015 |
Determination of refractive state |
6,802 |
6,647 |
$145K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,686 |
2,626 |
$120K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,043 |
5,858 |
$106K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,927 |
1,872 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
373 |
360 |
$17K |
| 92341 |
|
545 |
529 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
261 |
257 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
40 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
70 |
66 |
$984.00 |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
13 |
12 |
$600.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
38 |
37 |
$528.00 |
| 92285 |
|
15 |
15 |
$239.70 |