| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,872 |
1,864 |
$191K |
| V2020 |
Frames, purchases |
3,581 |
3,531 |
$166K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
850 |
849 |
$85K |
| 92015 |
Determination of refractive state |
2,104 |
2,100 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
392 |
229 |
$7K |
| 99243 |
|
83 |
83 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
321 |
276 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
45 |
45 |
$675.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
384 |
226 |
$212.00 |
| V2199 |
Not otherwise classified, single vision lens |
13 |
12 |
$0.00 |