| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,597 |
3,401 |
$216K |
| V2020 |
Frames, purchases |
3,425 |
3,273 |
$111K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,035 |
1,000 |
$85K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,813 |
2,693 |
$80K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,876 |
1,811 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,148 |
2,077 |
$15K |
| V2760 |
Scratch resistant coating, per lens |
2,041 |
1,956 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
99 |
96 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$458.93 |
| 92015 |
Determination of refractive state |
341 |
317 |
$444.84 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
13 |
$220.00 |