| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,119 |
13,999 |
$519K |
| V2020 |
Frames, purchases |
20,685 |
20,511 |
$428K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17,707 |
17,518 |
$378K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,378 |
8,293 |
$332K |
| 92015 |
Determination of refractive state |
22,494 |
22,256 |
$176K |
| 92250 |
|
3,023 |
2,967 |
$153K |
| 92341 |
|
2,446 |
2,435 |
$72K |
| 92225 |
|
739 |
613 |
$53K |
| 92201 |
|
1,129 |
1,124 |
$24K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
141 |
141 |
$14K |
| V2750 |
Anti-reflective coating, per lens |
261 |
261 |
$8K |
| V2744 |
Tint, photochromatic, per lens |
112 |
112 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
66 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
31 |
$502.20 |