| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,565 |
9,454 |
$440K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,023 |
4,858 |
$216K |
| 92250 |
|
6,174 |
6,099 |
$201K |
| V2020 |
Frames, purchases |
7,367 |
7,201 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,747 |
5,668 |
$120K |
| 92082 |
|
4,294 |
4,245 |
$102K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,470 |
4,373 |
$94K |
| 92015 |
Determination of refractive state |
7,342 |
6,695 |
$81K |
| 92341 |
|
2,319 |
2,265 |
$58K |
| 92020 |
|
4,112 |
4,061 |
$50K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
699 |
691 |
$49K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,246 |
1,225 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,855 |
2,787 |
$26K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
560 |
542 |
$10K |
| 92225 |
|
986 |
974 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$178.64 |
| 2023F |
|
1,670 |
1,648 |
$0.00 |