| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18,829 |
17,514 |
$800K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17,504 |
16,412 |
$506K |
| 92015 |
Determination of refractive state |
25,058 |
23,476 |
$444K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,982 |
5,721 |
$276K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,733 |
3,545 |
$64K |
| V2020 |
Frames, purchases |
4,622 |
4,420 |
$62K |
| 92250 |
|
979 |
930 |
$38K |
| V2025 |
Deluxe frame |
451 |
446 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,845 |
2,805 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
454 |
352 |
$16K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
449 |
444 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
111 |
111 |
$1K |
| 92341 |
|
19 |
16 |
$556.32 |