| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,762 |
2,632 |
$209K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,369 |
1,307 |
$115K |
| V2020 |
Frames, purchases |
5,020 |
4,699 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,602 |
4,259 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,763 |
3,557 |
$20K |
| 92015 |
Determination of refractive state |
4,365 |
4,146 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
43 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
42 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
299 |
290 |
$1K |
| 92341 |
|
232 |
223 |
$141.36 |
| V2755 |
U-v lens, per lens |
93 |
79 |
$63.18 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
74 |
60 |
$50.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
95 |
81 |
$18.00 |
| V2760 |
Scratch resistant coating, per lens |
16 |
13 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
14 |
12 |
$0.00 |