| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,565 |
4,470 |
$179K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,331 |
4,559 |
$115K |
| V2020 |
Frames, purchases |
6,111 |
5,305 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,103 |
2,078 |
$83K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,906 |
3,166 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,493 |
1,463 |
$30K |
| 92310 |
|
510 |
500 |
$29K |
| 92015 |
Determination of refractive state |
1,355 |
1,318 |
$16K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
199 |
192 |
$6K |
| 92341 |
|
106 |
103 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$523.32 |
| V2299 |
Specialty bifocal (by report) |
13 |
12 |
$490.10 |
| 2023F |
|
739 |
707 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
31 |
27 |
$0.00 |
| 3072F |
|
58 |
55 |
$0.00 |
| V2781 |
Progressive lens, per lens |
13 |
12 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
46 |
41 |
$0.00 |