| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,521 |
1,492 |
$32K |
| 92015 |
Determination of refractive state |
1,384 |
1,352 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
474 |
459 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
338 |
331 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
50 |
$3K |
| 92250 |
|
15 |
15 |
$196.61 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,648 |
1,611 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
684 |
674 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
247 |
243 |
$0.00 |
| V2020 |
Frames, purchases |
1,542 |
1,506 |
$0.00 |