| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,019 |
992 |
$65K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
463 |
453 |
$41K |
| V2020 |
Frames, purchases |
1,520 |
1,372 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,040 |
1,013 |
$32K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,157 |
1,041 |
$28K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
213 |
200 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
871 |
762 |
$6K |
| 92015 |
Determination of refractive state |
1,359 |
1,322 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
122 |
$5K |
| V2755 |
U-v lens, per lens |
185 |
181 |
$2K |
| 92341 |
|
40 |
40 |
$1K |
| V2760 |
Scratch resistant coating, per lens |
752 |
698 |
$1K |
| 92370 |
|
14 |
13 |
$348.00 |