| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,939 |
5,554 |
$237K |
| 92015 |
Determination of refractive state |
8,378 |
7,891 |
$144K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,617 |
4,316 |
$136K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,831 |
2,606 |
$125K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
895 |
809 |
$24K |
| V2020 |
Frames, purchases |
702 |
664 |
$19K |
| 92341 |
|
481 |
470 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
201 |
187 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
201 |
183 |
$3K |
| 92002 |
|
68 |
68 |
$2K |
| V2025 |
Deluxe frame |
109 |
93 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
155 |
141 |
$989.68 |
| 3072F |
|
81 |
80 |
$0.00 |