| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,920 |
5,714 |
$250K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,536 |
3,460 |
$206K |
| V2020 |
Frames, purchases |
4,407 |
4,201 |
$181K |
| 92015 |
Determination of refractive state |
7,660 |
7,222 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,431 |
1,396 |
$98K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,046 |
1,965 |
$57K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,643 |
2,537 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,491 |
1,322 |
$48K |
| 92250 |
|
703 |
587 |
$33K |
| 92002 |
|
533 |
487 |
$20K |
| 92341 |
|
349 |
335 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
463 |
444 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
195 |
$6K |
| V2756 |
Eye glass case |
3,009 |
2,853 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
55 |
54 |
$2K |
| 3072F |
|
17 |
14 |
$0.00 |