| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,452 |
1,433 |
$93K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,154 |
1,127 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
773 |
762 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
324 |
$14K |
| 92341 |
|
202 |
201 |
$14K |
| V2020 |
Frames, purchases |
164 |
159 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
131 |
129 |
$5K |
| 92002 |
|
83 |
81 |
$4K |
| 92015 |
Determination of refractive state |
210 |
197 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
62 |
62 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$843.75 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
73 |
73 |
$576.00 |
| V2760 |
Scratch resistant coating, per lens |
72 |
72 |
$144.00 |