| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,923 |
9,688 |
$435K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,917 |
3,891 |
$230K |
| 92015 |
Determination of refractive state |
9,473 |
9,165 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,140 |
2,107 |
$147K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,903 |
3,757 |
$114K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,123 |
4,947 |
$76K |
| V2020 |
Frames, purchases |
6,475 |
6,227 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,707 |
1,621 |
$61K |
| 92250 |
|
667 |
615 |
$38K |
| 92002 |
|
900 |
863 |
$37K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
542 |
519 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
93 |
$5K |
| 92341 |
|
74 |
70 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
57 |
53 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
51 |
50 |
$695.90 |
| V2756 |
Eye glass case |
231 |
227 |
$271.83 |