| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,798 |
3,506 |
$167K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,718 |
2,440 |
$125K |
| 92015 |
Determination of refractive state |
5,678 |
5,359 |
$96K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,136 |
2,971 |
$93K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,063 |
813 |
$59K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
571 |
488 |
$26K |
| V2020 |
Frames, purchases |
782 |
748 |
$23K |
| V2025 |
Deluxe frame |
813 |
558 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
417 |
403 |
$5K |
| 92341 |
|
143 |
75 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
165 |
164 |
$2K |