| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,890 |
1,860 |
$41K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
410 |
410 |
$18K |
| 92341 |
|
590 |
582 |
$16K |
| V2020 |
Frames, purchases |
3,411 |
3,357 |
$12K |
| 92015 |
Determination of refractive state |
652 |
647 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
200 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
527 |
520 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
87 |
87 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,717 |
2,673 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
90 |
90 |
$1K |
| 92083 |
|
41 |
41 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,240 |
1,224 |
$502.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$320.76 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
291 |
289 |
$37.70 |
| V2781 |
Progressive lens, per lens |
47 |
44 |
$20.00 |