| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,033 |
2,993 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,013 |
2,972 |
$134K |
| V2020 |
Frames, purchases |
5,854 |
5,725 |
$132K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,662 |
2,586 |
$74K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,271 |
4,219 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,449 |
2,417 |
$34K |
| 92015 |
Determination of refractive state |
705 |
672 |
$13K |
| V2025 |
Deluxe frame |
600 |
596 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
305 |
303 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
73 |
73 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,740 |
1,711 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
121 |
116 |
$3K |
| 92060 |
|
47 |
47 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
196 |
194 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
80 |
79 |
$0.00 |