| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,408 |
6,341 |
$434K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,108 |
4,991 |
$374K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,807 |
7,616 |
$154K |
| 92015 |
Determination of refractive state |
11,506 |
11,304 |
$110K |
| V2020 |
Frames, purchases |
1,263 |
1,220 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
463 |
446 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
348 |
289 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
237 |
205 |
$6K |
| 92370 |
|
91 |
91 |
$2K |
| 92250 |
|
107 |
98 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
13 |
13 |
$20.00 |