| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,391 |
11,681 |
$735K |
| 92250 |
|
11,176 |
10,611 |
$383K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,442 |
3,234 |
$281K |
| 92015 |
Determination of refractive state |
7,006 |
6,829 |
$239K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,379 |
6,233 |
$190K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,995 |
2,913 |
$188K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,438 |
3,308 |
$65K |
| V2020 |
Frames, purchases |
4,820 |
4,614 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
886 |
773 |
$30K |
| 92083 |
|
43 |
38 |
$763.30 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
970 |
918 |
$210.28 |
| 2023F |
|
1,186 |
1,166 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
18 |
18 |
$0.00 |