| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,010 |
937 |
$18K |
| V2020 |
Frames, purchases |
778 |
743 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
144 |
142 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
245 |
237 |
$4K |
| 92015 |
Determination of refractive state |
293 |
228 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
26 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
68 |
$892.56 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
44 |
$803.82 |
| 92250 |
|
52 |
42 |
$788.08 |
| 92341 |
|
44 |
41 |
$760.00 |
| 92225 |
|
24 |
13 |
$404.44 |
| 68761 |
|
50 |
44 |
$390.60 |