| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,531 |
3,415 |
$320K |
| 92015 |
Determination of refractive state |
5,510 |
5,312 |
$146K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
593 |
563 |
$65K |
| V2020 |
Frames, purchases |
2,743 |
2,607 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,431 |
3,294 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
675 |
658 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
888 |
814 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
240 |
239 |
$17K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
193 |
189 |
$8K |
| 92341 |
|
186 |
181 |
$2K |
| 92002 |
|
13 |
13 |
$760.87 |
| 3072F |
|
878 |
798 |
$80.00 |