| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,567 |
3,256 |
$383K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,759 |
3,430 |
$330K |
| 92250 |
|
3,869 |
3,516 |
$175K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
644 |
566 |
$98K |
| V2025 |
Deluxe frame |
431 |
383 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
627 |
564 |
$25K |
| V2750 |
Anti-reflective coating, per lens |
627 |
566 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
519 |
469 |
$10K |
| V2020 |
Frames, purchases |
173 |
160 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
51 |
$3K |
| S0592 |
Comprehensive contact lens evaluation |
13 |
13 |
$0.00 |