| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,074 |
3,685 |
$157K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,117 |
2,784 |
$138K |
| 92015 |
Determination of refractive state |
6,706 |
6,133 |
$110K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,677 |
3,215 |
$98K |
| V2020 |
Frames, purchases |
1,611 |
1,488 |
$43K |
| 92341 |
|
915 |
831 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
808 |
720 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,183 |
884 |
$10K |
| V2025 |
Deluxe frame |
137 |
117 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
531 |
331 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
232 |
207 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
25 |
$359.00 |
| 99072 |
|
14 |
13 |
$0.00 |