| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,479 |
3,365 |
$206K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
826 |
800 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,382 |
3,289 |
$58K |
| V2020 |
Frames, purchases |
3,104 |
3,014 |
$44K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,648 |
2,564 |
$40K |
| 92015 |
Determination of refractive state |
4,748 |
4,619 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,898 |
1,848 |
$25K |
| V2750 |
Anti-reflective coating, per lens |
180 |
171 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$682.17 |
| 92341 |
|
26 |
24 |
$396.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$0.24 |