| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,888 |
2,864 |
$106K |
| V2020 |
Frames, purchases |
4,005 |
3,965 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,379 |
3,344 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,667 |
1,655 |
$63K |
| 92250 |
|
1,162 |
1,151 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,918 |
1,875 |
$45K |
| 92015 |
Determination of refractive state |
4,644 |
4,608 |
$35K |
| 92083 |
|
796 |
794 |
$19K |
| 68761 |
|
78 |
51 |
$10K |
| 92341 |
|
305 |
305 |
$9K |
| 92060 |
|
199 |
199 |
$7K |
| 92225 |
|
48 |
24 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
53 |
53 |
$869.73 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
80 |
80 |
$629.64 |