| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,240 |
2,186 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,628 |
1,606 |
$70K |
| 92015 |
Determination of refractive state |
3,950 |
3,856 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,941 |
1,868 |
$55K |
| V2025 |
Deluxe frame |
531 |
520 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
534 |
511 |
$15K |
| V2020 |
Frames, purchases |
818 |
782 |
$14K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
203 |
197 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
101 |
101 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
408 |
381 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
67 |
63 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
30 |
28 |
$2K |
| 92341 |
|
47 |
47 |
$1K |
| 2023F |
|
12 |
12 |
$0.00 |