| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,637 |
3,470 |
$326K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,317 |
2,244 |
$245K |
| V2020 |
Frames, purchases |
1,934 |
1,882 |
$131K |
| 92015 |
Determination of refractive state |
6,149 |
5,945 |
$92K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
658 |
649 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
624 |
615 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
492 |
486 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
184 |
184 |
$12K |
| 97535 |
Self-care/home management training, each 15 minutes |
116 |
65 |
$6K |
| 92250 |
|
69 |
68 |
$2K |
| 92283 |
|
39 |
38 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$1K |
| 92060 |
|
12 |
12 |
$602.62 |
| V2744 |
Tint, photochromatic, per lens |
20 |
19 |
$592.04 |
| 92134 |
|
14 |
14 |
$364.45 |
| G8987 |
Self care functional limitation, current status, at therapy episode outset and at reporting intervals |
12 |
12 |
$0.00 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
12 |
12 |
$0.00 |