| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,838 |
2,556 |
$242K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,303 |
1,202 |
$132K |
| 92015 |
Determination of refractive state |
3,858 |
3,467 |
$96K |
| V2020 |
Frames, purchases |
2,895 |
2,526 |
$88K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,589 |
3,218 |
$69K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,839 |
1,640 |
$61K |
| 92250 |
|
2,189 |
1,633 |
$46K |
| V2755 |
U-v lens, per lens |
1,939 |
1,698 |
$24K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
1,920 |
1,688 |
$22K |
| 92083 |
|
49 |
47 |
$2K |
| 92341 |
|
117 |
110 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
48 |
39 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
21 |
19 |
$849.06 |
| 2023F |
|
43 |
42 |
$0.00 |