| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
550 |
521 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
736 |
699 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
265 |
247 |
$22K |
| V2020 |
Frames, purchases |
673 |
648 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
351 |
339 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
465 |
452 |
$4K |
| 92015 |
Determination of refractive state |
452 |
422 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
89 |
85 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
28 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
455 |
442 |
$1K |
| 92341 |
|
16 |
14 |
$488.21 |