| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,977 |
5,600 |
$223K |
| 92015 |
Determination of refractive state |
7,539 |
7,130 |
$131K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,205 |
3,970 |
$124K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,610 |
1,512 |
$70K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,559 |
1,394 |
$31K |
| V2020 |
Frames, purchases |
410 |
396 |
$11K |
| 92341 |
|
199 |
189 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
78 |
74 |
$946.64 |
| 92134 |
|
69 |
66 |
$890.53 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
44 |
43 |
$886.50 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
72 |
68 |
$410.00 |
| 3072F |
|
94 |
92 |
$0.00 |