| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,108 |
2,494 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
944 |
871 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,947 |
3,326 |
$59K |
| V2750 |
Anti-reflective coating, per lens |
420 |
395 |
$34K |
| 92015 |
Determination of refractive state |
4,430 |
3,630 |
$31K |
| V2020 |
Frames, purchases |
1,511 |
1,472 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
356 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,807 |
995 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,086 |
1,053 |
$8K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
204 |
201 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
419 |
271 |
$4K |
| 95930 |
|
30 |
27 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
37 |
26 |
$275.20 |