| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,961 |
1,910 |
$127K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,746 |
1,581 |
$118K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,304 |
954 |
$106K |
| 92015 |
Determination of refractive state |
5,573 |
4,324 |
$88K |
| V2020 |
Frames, purchases |
830 |
812 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
779 |
760 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
727 |
713 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
53 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
39 |
$3K |