| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,683 |
4,557 |
$320K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,879 |
2,794 |
$256K |
| V2020 |
Frames, purchases |
5,900 |
5,667 |
$166K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,725 |
3,637 |
$101K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,826 |
2,723 |
$60K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,667 |
4,474 |
$43K |
| 92015 |
Determination of refractive state |
3,466 |
3,358 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,178 |
1,136 |
$24K |
| V2760 |
Scratch resistant coating, per lens |
2,266 |
2,143 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$273.00 |
| G8732 |
No documentation of pain assessment, reason not given |
92 |
88 |
$0.00 |