| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,083 |
985 |
$63K |
| V2020 |
Frames, purchases |
1,783 |
1,709 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,771 |
1,698 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
344 |
321 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
875 |
836 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
773 |
742 |
$6K |
| 92015 |
Determination of refractive state |
1,871 |
1,656 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$731.48 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
37 |
37 |
$584.37 |
| 92250 |
|
16 |
13 |
$503.12 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$195.00 |