| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,869 |
1,834 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
813 |
798 |
$73K |
| V2020 |
Frames, purchases |
1,724 |
1,697 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,439 |
1,418 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,684 |
1,629 |
$34K |
| 92250 |
|
170 |
163 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,564 |
1,537 |
$7K |
| 92015 |
Determination of refractive state |
2,270 |
2,227 |
$1K |
| 92370 |
|
24 |
24 |
$696.00 |
| V2760 |
Scratch resistant coating, per lens |
296 |
290 |
$572.00 |
| 92285 |
|
39 |
38 |
$512.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$426.30 |