| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
13,909 |
12,398 |
$519K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,070 |
8,109 |
$394K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,647 |
5,908 |
$301K |
| 92015 |
Determination of refractive state |
14,706 |
13,210 |
$266K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,315 |
7,463 |
$244K |
| 92341 |
|
2,680 |
2,442 |
$77K |
| V2025 |
Deluxe frame |
668 |
596 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
424 |
377 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
281 |
256 |
$14K |
| V2020 |
Frames, purchases |
582 |
578 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
460 |
454 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
295 |
290 |
$4K |
| 2024F |
|
271 |
267 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
24 |
24 |
$2K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
24 |
24 |
$665.00 |