| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,181 |
3,123 |
$322K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,929 |
1,897 |
$232K |
| V2020 |
Frames, purchases |
3,649 |
3,537 |
$148K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
834 |
811 |
$114K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,947 |
1,897 |
$94K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,511 |
3,429 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,623 |
3,511 |
$66K |
| V2750 |
Anti-reflective coating, per lens |
2,237 |
2,186 |
$58K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
167 |
162 |
$10K |
| 92310 |
|
65 |
64 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
130 |
129 |
$6K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
26 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$772.04 |
| 92015 |
Determination of refractive state |
736 |
718 |
$471.20 |