| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,363 |
1,318 |
$138K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,161 |
1,117 |
$95K |
| 92250 |
|
1,852 |
1,820 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,957 |
1,903 |
$48K |
| V2020 |
Frames, purchases |
1,131 |
1,075 |
$45K |
| 92015 |
Determination of refractive state |
3,130 |
3,013 |
$38K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
944 |
875 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
488 |
472 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
238 |
$16K |
| 92341 |
|
223 |
216 |
$7K |
| V2430 |
Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
68 |
65 |
$6K |
| V2025 |
Deluxe frame |
116 |
116 |
$5K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
57 |
55 |
$5K |
| V2799 |
Vision item or service, miscellaneous |
121 |
114 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
66 |
64 |
$3K |
| V2755 |
U-v lens, per lens |
155 |
148 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
59 |
57 |
$654.10 |