| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,944 |
1,933 |
$199K |
| 92060 |
|
1,278 |
1,267 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
418 |
413 |
$51K |
| 92250 |
|
767 |
760 |
$49K |
| 92015 |
Determination of refractive state |
3,010 |
2,974 |
$47K |
| 92082 |
|
1,066 |
1,058 |
$41K |
| V2020 |
Frames, purchases |
1,103 |
1,094 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,074 |
1,064 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
922 |
915 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
325 |
314 |
$23K |