| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,996 |
7,941 |
$260K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,496 |
4,704 |
$230K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,704 |
3,860 |
$207K |
| 92015 |
Determination of refractive state |
7,470 |
6,424 |
$133K |
| V2025 |
Deluxe frame |
2,846 |
2,495 |
$88K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,708 |
1,505 |
$69K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
471 |
404 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
596 |
473 |
$27K |
| V2020 |
Frames, purchases |
958 |
864 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
438 |
$12K |
| V2599 |
Contact lens, other type |
84 |
51 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
459 |
395 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,007 |
896 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
303 |
282 |
$5K |
| 92310 |
|
41 |
40 |
$2K |
| 92250 |
|
30 |
28 |
$1K |
| 92341 |
|
36 |
35 |
$475.00 |
| 3072F |
|
68 |
68 |
$0.00 |