| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,158 |
2,107 |
$118K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,822 |
1,796 |
$95K |
| 92015 |
Determination of refractive state |
4,070 |
3,986 |
$9K |
| V2020 |
Frames, purchases |
964 |
946 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,004 |
984 |
$1K |
| 2022F |
|
205 |
202 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
747 |
745 |
$0.00 |
| V2756 |
Eye glass case |
646 |
642 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
224 |
215 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
758 |
488 |
$0.00 |
| 92342 |
|
646 |
642 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
283 |
169 |
$0.00 |
| 3072F |
|
65 |
65 |
$0.00 |