| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,675 |
2,593 |
$214K |
| V2020 |
Frames, purchases |
3,008 |
2,848 |
$97K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,694 |
1,637 |
$87K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
780 |
759 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,723 |
2,611 |
$59K |
| 92015 |
Determination of refractive state |
4,075 |
3,954 |
$49K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,188 |
2,230 |
$30K |
| 92341 |
|
246 |
241 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
38 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
43 |
$0.00 |