| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,275 |
3,921 |
$417K |
| V2020 |
Frames, purchases |
6,881 |
5,945 |
$269K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,611 |
1,472 |
$185K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,298 |
5,417 |
$149K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,228 |
2,808 |
$138K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,962 |
5,998 |
$127K |
| 92250 |
|
598 |
537 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
278 |
$19K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
350 |
316 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
77 |
63 |
$2K |
| 92310 |
|
12 |
12 |
$1K |