| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,159 |
1,120 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,879 |
1,775 |
$52K |
| V2020 |
Frames, purchases |
1,913 |
1,808 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,367 |
1,292 |
$28K |
| 92015 |
Determination of refractive state |
2,097 |
1,966 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
304 |
294 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
441 |
426 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
288 |
278 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
53 |
$2K |