| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,982 |
1,906 |
$78K |
| 92015 |
Determination of refractive state |
1,988 |
1,882 |
$46K |
| V2020 |
Frames, purchases |
1,699 |
1,619 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,245 |
1,181 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
491 |
459 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
865 |
801 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
156 |
155 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
91 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
70 |
$4K |