| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,630 |
1,591 |
$82K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,864 |
1,814 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
500 |
490 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
388 |
374 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
409 |
390 |
$22K |
| V2020 |
Frames, purchases |
1,358 |
1,308 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,069 |
944 |
$16K |
| V2025 |
Deluxe frame |
138 |
128 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
147 |
137 |
$2K |
| 92015 |
Determination of refractive state |
66 |
66 |
$910.07 |