| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,241 |
2,185 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
930 |
906 |
$85K |
| V2020 |
Frames, purchases |
3,053 |
2,661 |
$73K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,363 |
2,233 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,106 |
941 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,598 |
1,392 |
$24K |
| 92015 |
Determination of refractive state |
3,366 |
3,252 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,019 |
900 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,077 |
1,833 |
$13K |
| 92250 |
|
180 |
151 |
$6K |
| V2760 |
Scratch resistant coating, per lens |
1,651 |
1,563 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$2K |
| 92341 |
|
18 |
17 |
$312.00 |