| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,765 |
4,658 |
$321K |
| V2020 |
Frames, purchases |
7,290 |
7,105 |
$224K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,624 |
1,580 |
$144K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,907 |
4,802 |
$143K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,074 |
3,969 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,091 |
897 |
$48K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,038 |
4,907 |
$38K |
| 92015 |
Determination of refractive state |
2,914 |
2,532 |
$24K |
| 92370 |
|
593 |
583 |
$17K |
| 92341 |
|
640 |
620 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
533 |
520 |
$15K |
| V2760 |
Scratch resistant coating, per lens |
5,011 |
4,882 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
92 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
226 |
226 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
221 |
219 |
$4K |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$440.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$315.74 |