| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,243 |
2,215 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,294 |
2,270 |
$73K |
| V2020 |
Frames, purchases |
2,397 |
2,361 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,103 |
2,062 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
746 |
$33K |
| 92002 |
|
522 |
509 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,449 |
1,418 |
$11K |
| 92083 |
|
135 |
134 |
$6K |
| 92015 |
Determination of refractive state |
367 |
362 |
$6K |
| 92250 |
|
112 |
110 |
$4K |
| 92225 |
|
103 |
101 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
1,362 |
1,337 |
$3K |
| 92020 |
|
146 |
143 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
109 |
109 |
$2K |
| 92133 |
|
40 |
40 |
$1K |
| 92285 |
|
31 |
26 |
$374.44 |