| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,507 |
3,116 |
$196K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,199 |
1,948 |
$173K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,509 |
2,338 |
$104K |
| V2020 |
Frames, purchases |
2,067 |
1,805 |
$53K |
| 92015 |
Determination of refractive state |
5,453 |
4,780 |
$23K |
| 92341 |
|
284 |
258 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
714 |
653 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,139 |
1,048 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
440 |
400 |
$7K |
| V2760 |
Scratch resistant coating, per lens |
1,101 |
1,019 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$426.30 |