| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,201 |
4,075 |
$269K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,219 |
4,153 |
$243K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,113 |
1,095 |
$100K |
| V2020 |
Frames, purchases |
1,630 |
1,585 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
836 |
814 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
427 |
392 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
565 |
555 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,122 |
1,091 |
$9K |
| 92370 |
|
237 |
233 |
$7K |
| 92015 |
Determination of refractive state |
395 |
342 |
$6K |
| 92341 |
|
91 |
89 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
1,120 |
1,090 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
31 |
$2K |
| 92133 |
|
14 |
14 |
$535.54 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
28 |
$501.00 |