| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,961 |
1,881 |
$91K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,809 |
1,576 |
$62K |
| 92015 |
Determination of refractive state |
2,860 |
2,551 |
$24K |
| 92250 |
|
603 |
567 |
$19K |
| V2020 |
Frames, purchases |
221 |
208 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
160 |
156 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
84 |
80 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
75 |
67 |
$2K |
| 99072 |
|
64 |
54 |
$1K |
| V2756 |
Eye glass case |
367 |
345 |
$466.32 |
| V2025 |
Deluxe frame |
15 |
15 |
$110.00 |