| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,849 |
1,786 |
$121K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
919 |
893 |
$82K |
| V2020 |
Frames, purchases |
2,266 |
2,187 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,140 |
2,088 |
$60K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,361 |
1,306 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,804 |
1,740 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
627 |
604 |
$10K |
| V2760 |
Scratch resistant coating, per lens |
1,732 |
1,680 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
80 |
78 |
$1K |
| 92370 |
|
50 |
48 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$952.40 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
26 |
$703.75 |
| 92015 |
Determination of refractive state |
2,475 |
2,448 |
$392.63 |