| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,286 |
4,790 |
$404K |
| 92015 |
Determination of refractive state |
9,429 |
6,934 |
$159K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,555 |
6,441 |
$135K |
| V2020 |
Frames, purchases |
5,858 |
4,810 |
$118K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,847 |
3,336 |
$99K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
743 |
642 |
$67K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,094 |
1,916 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
983 |
661 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
348 |
237 |
$16K |
| 3072F |
|
277 |
256 |
$0.00 |
| 2023F |
|
14 |
14 |
$0.00 |