| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,304 |
1,241 |
$75K |
| V2020 |
Frames, purchases |
1,386 |
1,320 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
499 |
481 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,094 |
1,053 |
$31K |
| 92015 |
Determination of refractive state |
2,346 |
2,244 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
836 |
783 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
234 |
226 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
745 |
706 |
$6K |
| 92250 |
|
124 |
121 |
$5K |
| 92060 |
|
77 |
73 |
$3K |
| 92283 |
|
222 |
216 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
179 |
170 |
$3K |
| 92133 |
|
67 |
66 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
1,245 |
1,174 |
$2K |