| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,121 |
3,020 |
$204K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,210 |
3,130 |
$124K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,181 |
1,131 |
$102K |
| V2020 |
Frames, purchases |
2,748 |
2,667 |
$89K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,544 |
1,495 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,501 |
1,443 |
$12K |
| 92015 |
Determination of refractive state |
4,810 |
4,639 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
219 |
216 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
87 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
1,407 |
1,353 |
$3K |
| 92250 |
|
53 |
50 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
53 |
$950.92 |
| V2781 |
Progressive lens, per lens |
27 |
27 |
$886.15 |
| 92370 |
|
15 |
15 |
$435.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
13 |
$384.37 |
| 92341 |
|
35 |
30 |
$324.00 |
| 92310 |
|
12 |
12 |
$205.00 |