| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,054 |
2,914 |
$293K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,514 |
2,310 |
$268K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,437 |
1,354 |
$101K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,888 |
1,771 |
$92K |
| V2020 |
Frames, purchases |
1,842 |
1,750 |
$65K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,096 |
1,970 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,011 |
1,884 |
$32K |
| 92015 |
Determination of refractive state |
7,956 |
7,462 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
27 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
941 |
884 |
$0.00 |