| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,345 |
3,007 |
$348K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,465 |
3,219 |
$323K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,873 |
1,326 |
$245K |
| V2020 |
Frames, purchases |
4,739 |
3,612 |
$181K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,665 |
3,526 |
$123K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,205 |
1,574 |
$105K |
| V2750 |
Anti-reflective coating, per lens |
3,300 |
2,522 |
$82K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,560 |
3,463 |
$78K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,664 |
1,378 |
$74K |
| 92081 |
|
5,334 |
4,852 |
$43K |
| 92250 |
|
2,179 |
2,020 |
$26K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
67 |
51 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$652.02 |