| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,219 |
4,715 |
$227K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,578 |
5,026 |
$155K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,973 |
2,745 |
$135K |
| 92015 |
Determination of refractive state |
7,157 |
6,521 |
$117K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,672 |
1,501 |
$84K |
| V2020 |
Frames, purchases |
1,554 |
1,551 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
828 |
682 |
$37K |
| V2025 |
Deluxe frame |
1,172 |
1,048 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,355 |
1,352 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
703 |
702 |
$8K |
| 92341 |
|
18 |
18 |
$513.36 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
28 |
28 |
$248.82 |