| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,129 |
6,873 |
$287K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,639 |
5,453 |
$167K |
| 92015 |
Determination of refractive state |
8,985 |
8,714 |
$157K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,171 |
2,071 |
$95K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
811 |
708 |
$17K |
| V2020 |
Frames, purchases |
636 |
587 |
$16K |
| 92341 |
|
339 |
335 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
196 |
172 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
76 |
70 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
232 |
205 |
$1K |
| 3072F |
|
28 |
27 |
$0.00 |