| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,799 |
12,933 |
$332K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,897 |
4,813 |
$186K |
| 92250 |
|
6,252 |
6,124 |
$153K |
| V2020 |
Frames, purchases |
1,853 |
1,733 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,521 |
1,489 |
$77K |
| 92083 |
|
2,755 |
2,699 |
$73K |
| 92015 |
Determination of refractive state |
6,863 |
6,720 |
$71K |
| 92134 |
|
3,059 |
2,999 |
$45K |
| 83861 |
|
3,875 |
2,143 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
704 |
642 |
$27K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
376 |
287 |
$23K |
| 92133 |
|
996 |
982 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
339 |
325 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
554 |
530 |
$12K |
| 92341 |
|
296 |
288 |
$9K |
| 92225 |
|
344 |
174 |
$6K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
43 |
37 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$5K |
| V2756 |
Eye glass case |
2,717 |
2,595 |
$4K |
| 92226 |
|
139 |
71 |
$2K |
| V2025 |
Deluxe frame |
218 |
218 |
$0.00 |