| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,786 |
1,665 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
914 |
868 |
$100K |
| 92015 |
Determination of refractive state |
3,183 |
2,924 |
$97K |
| V2020 |
Frames, purchases |
2,737 |
2,557 |
$84K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,350 |
1,269 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,581 |
2,399 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
272 |
265 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
712 |
641 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
13 |
$856.86 |
| 3072F |
|
98 |
97 |
$0.00 |