| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,375 |
4,360 |
$542K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,474 |
2,471 |
$359K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
781 |
741 |
$68K |
| 92015 |
Determination of refractive state |
2,591 |
2,589 |
$49K |
| 92060 |
|
248 |
248 |
$16K |
| 92083 |
|
189 |
189 |
$13K |
| 92133 |
|
259 |
258 |
$10K |
| V2020 |
Frames, purchases |
307 |
297 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
237 |
229 |
$6K |
| 92020 |
|
116 |
115 |
$3K |
| 92226 |
|
96 |
66 |
$3K |
| 92285 |
|
28 |
28 |
$694.07 |
| 92201 |
|
14 |
14 |
$372.12 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$270.00 |