| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,590 |
2,098 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,727 |
1,399 |
$160K |
| V2781 |
Progressive lens, per lens |
1,773 |
1,268 |
$84K |
| V2020 |
Frames, purchases |
2,485 |
1,919 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,610 |
1,245 |
$54K |
| V2750 |
Anti-reflective coating, per lens |
2,574 |
1,997 |
$52K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,583 |
2,005 |
$46K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
606 |
569 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,594 |
2,010 |
$36K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
467 |
344 |
$17K |
| V2744 |
Tint, photochromatic, per lens |
1,614 |
1,260 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
56 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
65 |
37 |
$1K |
| 92015 |
Determination of refractive state |
4,628 |
3,738 |
$963.25 |