| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,425 |
1,222 |
$108K |
| 92015 |
Determination of refractive state |
2,908 |
2,434 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,300 |
1,927 |
$42K |
| V2020 |
Frames, purchases |
1,759 |
1,618 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,165 |
1,062 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
332 |
291 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
939 |
858 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
145 |
134 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
81 |
76 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$628.00 |
| 92341 |
|
13 |
13 |
$390.24 |
| 92250 |
|
13 |
13 |
$335.17 |