| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,100 |
954 |
$78K |
| 92015 |
Determination of refractive state |
3,317 |
2,864 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
559 |
482 |
$40K |
| V2020 |
Frames, purchases |
2,070 |
1,729 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,036 |
928 |
$14K |
| V2750 |
Anti-reflective coating, per lens |
383 |
324 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
36 |
29 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,667 |
1,379 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,360 |
1,122 |
$0.00 |