| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,477 |
9,240 |
$700K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,449 |
4,315 |
$379K |
| 92015 |
Determination of refractive state |
12,394 |
12,191 |
$187K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,401 |
8,215 |
$161K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,963 |
1,542 |
$97K |
| V2020 |
Frames, purchases |
2,253 |
2,112 |
$83K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,331 |
2,028 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
971 |
845 |
$47K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
998 |
896 |
$39K |
| 92250 |
|
211 |
200 |
$8K |