| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,702 |
1,671 |
$69K |
| 92250 |
|
1,647 |
1,582 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
802 |
790 |
$45K |
| 92015 |
Determination of refractive state |
979 |
971 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
749 |
737 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
42 |
39 |
$392.79 |
| V2020 |
Frames, purchases |
579 |
566 |
$80.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
389 |
379 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
81 |
79 |
$0.00 |