| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,826 |
2,605 |
$234K |
| V2020 |
Frames, purchases |
5,048 |
3,484 |
$114K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,031 |
624 |
$68K |
| 92015 |
Determination of refractive state |
5,566 |
3,846 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,218 |
2,960 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,662 |
1,759 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
607 |
483 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,245 |
2,183 |
$7K |
| 92250 |
|
543 |
259 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
230 |
88 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
249 |
109 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
235 |
128 |
$3K |
| 92341 |
|
291 |
113 |
$2K |
| 83861 |
|
250 |
38 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
62 |
24 |
$677.16 |
| 92133 |
|
72 |
25 |
$592.05 |