| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,401 |
2,299 |
$149K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,367 |
1,311 |
$117K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,391 |
2,298 |
$95K |
| V2020 |
Frames, purchases |
1,904 |
1,802 |
$62K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
983 |
931 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
575 |
546 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,210 |
1,151 |
$9K |
| 92370 |
|
108 |
107 |
$3K |
| 92341 |
|
71 |
63 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
53 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
1,121 |
1,068 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
64 |
$2K |
| 92015 |
Determination of refractive state |
2,355 |
2,295 |
$2K |
| 92250 |
|
25 |
24 |
$915.54 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$223.75 |