| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,424 |
13,690 |
$150K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,193 |
7,360 |
$101K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,069 |
10,555 |
$68K |
| 92250 |
|
3,732 |
2,848 |
$42K |
| 92015 |
Determination of refractive state |
4,388 |
3,610 |
$28K |
| V2020 |
Frames, purchases |
2,785 |
2,252 |
$22K |
| 92226 |
|
5,509 |
2,849 |
$22K |
| 92225 |
|
3,443 |
1,735 |
$15K |
| 92002 |
|
1,769 |
1,482 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,579 |
1,178 |
$10K |
| 92202 |
|
4,657 |
4,160 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
816 |
372 |
$3K |
| 92341 |
|
584 |
391 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
261 |
117 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
64 |
29 |
$791.08 |
| 92201 |
|
16 |
13 |
$127.28 |