| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,249 |
1,188 |
$71K |
| 92015 |
Determination of refractive state |
3,252 |
3,087 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
520 |
508 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
245 |
235 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
49 |
$7K |
| V2020 |
Frames, purchases |
614 |
587 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
125 |
108 |
$3K |
| 92370 |
|
66 |
66 |
$1K |
| 92002 |
|
12 |
12 |
$603.24 |
| V2756 |
Eye glass case |
419 |
396 |
$482.09 |
| V2760 |
Scratch resistant coating, per lens |
32 |
32 |
$0.00 |
| 2023F |
|
40 |
40 |
$0.00 |