| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
945 |
921 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
579 |
563 |
$54K |
| V2020 |
Frames, purchases |
1,957 |
1,855 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,176 |
1,140 |
$21K |
| 92015 |
Determination of refractive state |
1,840 |
1,791 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
915 |
876 |
$19K |
| 92250 |
|
685 |
680 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,833 |
1,743 |
$14K |
| 92341 |
|
131 |
131 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
79 |
$3K |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
145 |
143 |
$1K |
| 92370 |
|
14 |
13 |
$138.96 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
12 |
$0.00 |