| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,875 |
1,806 |
$111K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,775 |
1,734 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,143 |
1,101 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
994 |
924 |
$39K |
| 92015 |
Determination of refractive state |
1,401 |
1,360 |
$24K |
| 92133 |
|
537 |
514 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
28 |
$2K |
| V2020 |
Frames, purchases |
410 |
205 |
$1K |
| 92202 |
|
60 |
57 |
$1K |
| 92002 |
|
14 |
14 |
$723.38 |
| S0516 |
Safety eyeglass frames |
42 |
42 |
$671.16 |
| S0504 |
Single vision prescription lens (safety, athletic, or sunglass), per lens |
69 |
69 |
$621.08 |
| S9999 |
Sales tax |
103 |
103 |
$168.36 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
56 |
28 |
$87.00 |