| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,186 |
6,842 |
$451K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,270 |
4,045 |
$353K |
| V2020 |
Frames, purchases |
8,467 |
8,209 |
$249K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,881 |
6,662 |
$182K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,278 |
7,034 |
$165K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,276 |
1,247 |
$48K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,213 |
4,073 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
755 |
$31K |
| 92341 |
|
1,388 |
1,355 |
$26K |
| 92133 |
|
395 |
360 |
$13K |
| 92015 |
Determination of refractive state |
1,097 |
916 |
$8K |
| V2760 |
Scratch resistant coating, per lens |
4,205 |
4,066 |
$8K |
| 92020 |
|
464 |
426 |
$7K |
| 92370 |
|
222 |
219 |
$6K |
| 76514 |
|
307 |
276 |
$2K |
| 92250 |
|
41 |
40 |
$2K |