| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,191 |
882 |
$34K |
| 92015 |
Determination of refractive state |
1,672 |
1,430 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
566 |
471 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
400 |
279 |
$18K |
| V2020 |
Frames, purchases |
749 |
564 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
526 |
335 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
73 |
$1K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
156 |
97 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
441 |
289 |
$1K |
| 92341 |
|
37 |
30 |
$618.12 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
53 |
28 |
$258.50 |
| V2799 |
Vision item or service, miscellaneous |
15 |
14 |
$175.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$170.00 |