| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,233 |
7,686 |
$364K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,713 |
9,063 |
$276K |
| 92015 |
Determination of refractive state |
13,319 |
12,535 |
$233K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,346 |
4,106 |
$200K |
| V2025 |
Deluxe frame |
2,886 |
2,712 |
$82K |
| V2020 |
Frames, purchases |
3,997 |
3,800 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,955 |
3,736 |
$45K |
| 92341 |
|
1,203 |
1,149 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,361 |
4,114 |
$28K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
505 |
503 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
972 |
940 |
$17K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
289 |
289 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
152 |
151 |
$7K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
481 |
460 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
197 |
186 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
27 |
$2K |
| 3072F |
|
14 |
14 |
$40.02 |
| 99072 |
|
425 |
375 |
$0.00 |
| 2023F |
|
12 |
12 |
$0.00 |