| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,195 |
1,058 |
$88K |
| 92015 |
Determination of refractive state |
3,737 |
3,386 |
$42K |
| V2020 |
Frames, purchases |
1,299 |
1,205 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
706 |
676 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
668 |
624 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
917 |
874 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
62 |
59 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
75 |
68 |
$1K |
| 92341 |
|
14 |
13 |
$339.14 |
| 92002 |
|
12 |
12 |
$0.00 |