| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,171 |
4,001 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,794 |
1,708 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,699 |
1,665 |
$65K |
| 92015 |
Determination of refractive state |
3,142 |
3,048 |
$50K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,292 |
2,163 |
$35K |
| V2020 |
Frames, purchases |
2,643 |
2,507 |
$26K |
| 92341 |
|
1,338 |
1,281 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,653 |
1,555 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
141 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
70 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
104 |
99 |
$2K |
| 3072F |
|
74 |
74 |
$0.00 |