| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,701 |
5,610 |
$249K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
960 |
959 |
$110K |
| V2020 |
Frames, purchases |
3,094 |
3,044 |
$91K |
| V2500 |
Contact lens, pmma, spherical, per lens |
2,693 |
500 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
723 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,335 |
2,312 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
264 |
256 |
$14K |
| 92250 |
|
232 |
232 |
$13K |
| 92310 |
|
511 |
511 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
178 |
178 |
$9K |
| 92015 |
Determination of refractive state |
440 |
415 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
90 |
89 |
$2K |
| V2781 |
Progressive lens, per lens |
35 |
35 |
$343.50 |