| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,570 |
8,486 |
$585K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,264 |
4,173 |
$338K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,703 |
10,138 |
$206K |
| 92370 |
|
10,843 |
10,243 |
$190K |
| 92250 |
|
5,663 |
5,551 |
$144K |
| 92015 |
Determination of refractive state |
12,657 |
12,492 |
$129K |
| V2020 |
Frames, purchases |
571 |
564 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
166 |
164 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
55 |
$896.25 |
| 92371 |
|
12 |
12 |
$81.60 |
| 3072F |
|
54 |
53 |
$0.00 |
| 5010F |
|
86 |
85 |
$0.00 |
| 2026F |
|
12 |
12 |
$0.00 |
| 2024F |
|
12 |
12 |
$0.00 |