| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,649 |
1,587 |
$125K |
| 92015 |
Determination of refractive state |
3,516 |
3,247 |
$108K |
| V2020 |
Frames, purchases |
3,650 |
3,333 |
$96K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,759 |
2,531 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
680 |
657 |
$60K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,997 |
2,746 |
$48K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
479 |
388 |
$26K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
77 |
72 |
$3K |
| 92341 |
|
120 |
111 |
$2K |
| 3072F |
|
48 |
48 |
$20.00 |
| 2023F |
|
102 |
102 |
$0.00 |