| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,841 |
3,694 |
$197K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,140 |
2,129 |
$109K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,305 |
2,282 |
$105K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,673 |
1,646 |
$103K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,121 |
2,106 |
$102K |
| V2020 |
Frames, purchases |
4,914 |
4,876 |
$101K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,440 |
3,351 |
$78K |
| V2025 |
Deluxe frame |
901 |
888 |
$71K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,644 |
3,617 |
$50K |
| 92250 |
|
2,106 |
2,090 |
$48K |
| V2760 |
Scratch resistant coating, per lens |
899 |
886 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
475 |
472 |
$24K |
| V2755 |
U-v lens, per lens |
690 |
682 |
$20K |
| 92341 |
|
1,161 |
1,150 |
$15K |
| 92015 |
Determination of refractive state |
230 |
227 |
$5K |
| 92133 |
|
40 |
40 |
$884.79 |