| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,326 |
14,267 |
$1.10M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,695 |
5,678 |
$517K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,618 |
16,516 |
$370K |
| 92015 |
Determination of refractive state |
21,110 |
21,020 |
$236K |
| V2020 |
Frames, purchases |
7,610 |
7,525 |
$220K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,121 |
3,454 |
$132K |
| 92341 |
|
3,517 |
3,498 |
$89K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,244 |
3,221 |
$84K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,221 |
2,103 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,175 |
1,981 |
$76K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
336 |
320 |
$14K |
| 92370 |
|
361 |
361 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
174 |
171 |
$5K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
110 |
108 |
$5K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
56 |
53 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
38 |
38 |
$2K |
| 92250 |
|
26 |
26 |
$677.81 |