| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,573 |
2,559 |
$172K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,155 |
1,148 |
$105K |
| V2020 |
Frames, purchases |
3,285 |
3,127 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,482 |
2,477 |
$78K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,541 |
2,503 |
$49K |
| 92341 |
|
630 |
624 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,648 |
1,601 |
$13K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
578 |
560 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
183 |
$8K |
| 92015 |
Determination of refractive state |
405 |
383 |
$6K |
| V2760 |
Scratch resistant coating, per lens |
1,563 |
1,557 |
$3K |
| 92370 |
|
93 |
92 |
$3K |
| 92020 |
|
12 |
12 |
$226.56 |
| 76514 |
|
12 |
12 |
$104.88 |