| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
737 |
712 |
$42K |
| V2020 |
Frames, purchases |
1,177 |
1,103 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
489 |
487 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
845 |
766 |
$1K |
| 92015 |
Determination of refractive state |
1,432 |
1,402 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,104 |
1,031 |
$612.18 |
| 3072F |
|
34 |
33 |
$0.00 |
| 92342 |
|
208 |
208 |
$0.00 |
| V2756 |
Eye glass case |
203 |
203 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
52 |
26 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
257 |
257 |
$0.00 |
| 2022F |
|
169 |
169 |
$0.00 |