| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,975 |
2,669 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,627 |
1,455 |
$125K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,512 |
5,031 |
$88K |
| V2020 |
Frames, purchases |
5,394 |
4,925 |
$67K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,228 |
3,828 |
$64K |
| V2499 |
Variable sphericity lens, other type |
803 |
776 |
$52K |
| 92015 |
Determination of refractive state |
5,492 |
4,965 |
$43K |
| V2750 |
Anti-reflective coating, per lens |
470 |
420 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,205 |
1,084 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
105 |
103 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
16 |
14 |
$389.00 |