| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,641 |
2,457 |
$253K |
| V2020 |
Frames, purchases |
3,297 |
2,567 |
$136K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,077 |
794 |
$114K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
964 |
895 |
$111K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,503 |
2,686 |
$77K |
| 92341 |
|
3,495 |
2,679 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
839 |
744 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
470 |
385 |
$21K |
| V2755 |
U-v lens, per lens |
601 |
443 |
$17K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
801 |
583 |
$10K |
| 92060 |
|
14 |
14 |
$758.52 |
| V2750 |
Anti-reflective coating, per lens |
21 |
16 |
$507.36 |