| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,049 |
1,826 |
$109K |
| V2750 |
Anti-reflective coating, per lens |
837 |
753 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,255 |
2,820 |
$48K |
| V2020 |
Frames, purchases |
2,744 |
2,388 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
469 |
396 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
734 |
647 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,516 |
1,373 |
$23K |
| 92015 |
Determination of refractive state |
3,021 |
2,655 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,181 |
1,033 |
$9K |
| 92250 |
|
168 |
148 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
887 |
748 |
$2K |
| 92083 |
|
30 |
25 |
$1K |
| 92082 |
|
12 |
12 |
$480.00 |