| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,124 |
4,071 |
$147K |
| 92250 |
|
2,645 |
2,625 |
$103K |
| V2020 |
Frames, purchases |
4,929 |
4,852 |
$102K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,212 |
4,144 |
$91K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,136 |
2,131 |
$81K |
| 92015 |
Determination of refractive state |
6,512 |
6,434 |
$51K |
| V2750 |
Anti-reflective coating, per lens |
1,399 |
1,390 |
$42K |
| 92341 |
|
936 |
929 |
$29K |
| V2744 |
Tint, photochromatic, per lens |
570 |
568 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431 |
408 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
704 |
701 |
$6K |
| 92225 |
|
128 |
65 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
37 |
$2K |