| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
244 |
223 |
$8K |
| 92015 |
Determination of refractive state |
304 |
267 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
241 |
222 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
158 |
140 |
$3K |
| V2020 |
Frames, purchases |
249 |
227 |
$2K |
| 92250 |
|
121 |
120 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$877.01 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
51 |
$478.16 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
12 |
12 |
$51.20 |