| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
680 |
581 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
276 |
240 |
$30K |
| 92250 |
|
805 |
779 |
$29K |
| V2025 |
Deluxe frame |
142 |
131 |
$15K |
| 92015 |
Determination of refractive state |
2,010 |
1,927 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
455 |
403 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
232 |
204 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
493 |
434 |
$9K |
| V2750 |
Anti-reflective coating, per lens |
227 |
200 |
$6K |
| V2020 |
Frames, purchases |
170 |
154 |
$6K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
40 |
38 |
$4K |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
82 |
82 |
$0.00 |