| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,618 |
1,557 |
$155K |
| 92015 |
Determination of refractive state |
2,195 |
2,109 |
$82K |
| V2020 |
Frames, purchases |
2,131 |
2,051 |
$70K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,736 |
1,664 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
304 |
296 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,900 |
1,828 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
125 |
124 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
26 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,131 |
1,075 |
$0.00 |