| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,102 |
1,087 |
$75K |
| V2020 |
Frames, purchases |
2,153 |
1,784 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,576 |
1,431 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,872 |
1,143 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
85 |
83 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
872 |
739 |
$5K |
| V2755 |
U-v lens, per lens |
361 |
312 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
24 |
$1K |
| 92015 |
Determination of refractive state |
1,191 |
1,162 |
$548.92 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
25 |
$444.75 |