| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,249 |
5,088 |
$347K |
| 92015 |
Determination of refractive state |
6,031 |
5,813 |
$255K |
| 92250 |
|
3,930 |
3,800 |
$187K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,081 |
5,485 |
$175K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,823 |
1,732 |
$159K |
| V2020 |
Frames, purchases |
4,242 |
3,782 |
$68K |
| 92065 |
|
1,930 |
484 |
$59K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,443 |
560 |
$50K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,437 |
559 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,895 |
2,573 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,245 |
1,096 |
$49K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,354 |
1,183 |
$20K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
456 |
390 |
$7K |
| 92083 |
|
163 |
157 |
$5K |
| 92270 |
|
66 |
65 |
$3K |