| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,730 |
2,527 |
$246K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,642 |
1,512 |
$177K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
753 |
682 |
$109K |
| V2020 |
Frames, purchases |
1,446 |
1,333 |
$56K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
832 |
746 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
902 |
565 |
$24K |
| V2750 |
Anti-reflective coating, per lens |
862 |
772 |
$22K |
| V2025 |
Deluxe frame |
192 |
190 |
$20K |
| V2755 |
U-v lens, per lens |
614 |
593 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
823 |
746 |
$14K |
| 92015 |
Determination of refractive state |
4,209 |
3,909 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
86 |
66 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$540.96 |