| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,491 |
10,444 |
$240K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,282 |
9,256 |
$211K |
| V2020 |
Frames, purchases |
9,727 |
9,720 |
$107K |
| 92015 |
Determination of refractive state |
19,929 |
19,862 |
$96K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,716 |
7,708 |
$78K |
| 92341 |
|
2,013 |
2,011 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
216 |
215 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,106 |
1,103 |
$3K |
| 92002 |
|
109 |
109 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
99 |
99 |
$482.04 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
171 |
171 |
$415.75 |