| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,453 |
2,275 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,338 |
1,228 |
$61K |
| 92015 |
Determination of refractive state |
3,962 |
3,647 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,457 |
1,328 |
$41K |
| V2020 |
Frames, purchases |
2,177 |
1,965 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,232 |
1,096 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
686 |
631 |
$8K |
| 92341 |
|
203 |
171 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
557 |
479 |
$5K |
| 92250 |
|
65 |
58 |
$2K |
| 92226 |
|
60 |
28 |
$469.59 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
24 |
$441.38 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
15 |
14 |
$0.00 |