| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,768 |
5,319 |
$503K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,009 |
1,892 |
$217K |
| 92015 |
Determination of refractive state |
8,068 |
7,456 |
$180K |
| V2020 |
Frames, purchases |
5,127 |
4,608 |
$133K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,202 |
5,658 |
$108K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,663 |
2,541 |
$83K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
995 |
740 |
$24K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
90 |
90 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
80 |
49 |
$3K |
| 92083 |
|
13 |
12 |
$502.20 |
| 92250 |
|
17 |
16 |
$480.14 |
| 3072F |
|
487 |
485 |
$0.00 |