| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
31,072 |
8,227 |
$1.27M |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,687 |
4,569 |
$403K |
| V2020 |
Frames, purchases |
5,789 |
4,625 |
$281K |
| 92250 |
|
6,095 |
5,480 |
$175K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,788 |
2,349 |
$153K |
| 92341 |
|
2,288 |
2,008 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,549 |
1,468 |
$69K |
| 92015 |
Determination of refractive state |
5,678 |
4,875 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,556 |
3,453 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,879 |
1,806 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
142 |
136 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
14 |
$246.23 |