| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,050 |
2,883 |
$278K |
| V2020 |
Frames, purchases |
1,458 |
1,337 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,410 |
1,293 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,367 |
1,254 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
485 |
389 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
524 |
408 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
103 |
$15K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
79 |
75 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
42 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
14 |
$488.67 |