| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,498 |
1,357 |
$121K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,535 |
1,452 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,681 |
1,565 |
$67K |
| V2020 |
Frames, purchases |
1,382 |
1,234 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,021 |
923 |
$18K |
| 92015 |
Determination of refractive state |
2,007 |
1,784 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
841 |
754 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
54 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
800 |
726 |
$1K |
| 92370 |
|
46 |
43 |
$1K |
| 92341 |
|
37 |
36 |
$910.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$339.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
12 |
$214.00 |