| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,826 |
4,388 |
$216K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,289 |
2,912 |
$154K |
| 92015 |
Determination of refractive state |
7,457 |
6,774 |
$134K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
817 |
721 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
885 |
714 |
$40K |
| V2025 |
Deluxe frame |
782 |
691 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
255 |
255 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
327 |
326 |
$4K |
| V2020 |
Frames, purchases |
122 |
122 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
118 |
118 |
$1K |