| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
999 |
990 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
722 |
715 |
$67K |
| V2020 |
Frames, purchases |
1,461 |
1,423 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,152 |
1,140 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,236 |
1,203 |
$22K |
| 92015 |
Determination of refractive state |
2,094 |
2,065 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
761 |
729 |
$6K |
| 92341 |
|
60 |
59 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
762 |
730 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
58 |
58 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$671.00 |