| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,786 |
2,517 |
$119K |
| 92015 |
Determination of refractive state |
4,697 |
4,248 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,694 |
1,512 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,822 |
1,581 |
$53K |
| V2025 |
Deluxe frame |
882 |
779 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,765 |
1,543 |
$28K |
| V2020 |
Frames, purchases |
1,283 |
1,122 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,437 |
1,224 |
$10K |
| 92341 |
|
91 |
56 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
80 |
48 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
73 |
69 |
$836.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$495.00 |