| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,105 |
4,978 |
$443K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,359 |
4,206 |
$309K |
| V2020 |
Frames, purchases |
3,918 |
3,779 |
$70K |
| 92015 |
Determination of refractive state |
2,113 |
2,111 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,054 |
1,938 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,195 |
3,113 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
316 |
298 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
380 |
366 |
$4K |
| 92250 |
|
65 |
65 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
38 |
38 |
$3K |
| 92341 |
|
12 |
12 |
$148.32 |
| 2023F |
|
15 |
14 |
$0.00 |