| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,711 |
7,581 |
$275K |
| V2020 |
Frames, purchases |
1,592 |
1,557 |
$76K |
| 92341 |
|
1,198 |
1,176 |
$40K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
611 |
610 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
178 |
$19K |
| 92015 |
Determination of refractive state |
447 |
447 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
35 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
28 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$895.25 |
| V2755 |
U-v lens, per lens |
14 |
14 |
$593.98 |
| V2760 |
Scratch resistant coating, per lens |
14 |
14 |
$452.54 |