| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,008 |
1,952 |
$149K |
| 92015 |
Determination of refractive state |
4,082 |
3,966 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
508 |
498 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,878 |
1,815 |
$44K |
| V2020 |
Frames, purchases |
731 |
658 |
$21K |
| 92341 |
|
292 |
284 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
25 |
$2K |
| 92250 |
|
38 |
37 |
$940.40 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
12 |
12 |
$119.37 |