| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,763 |
2,702 |
$117K |
| 92015 |
Determination of refractive state |
3,969 |
3,836 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,216 |
2,097 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,063 |
1,022 |
$48K |
| V2025 |
Deluxe frame |
1,553 |
1,471 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,027 |
1,936 |
$32K |
| V2020 |
Frames, purchases |
1,291 |
1,239 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,667 |
1,579 |
$15K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
529 |
500 |
$13K |
| 92341 |
|
417 |
394 |
$12K |
| 92250 |
|
14 |
12 |
$539.21 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
30 |
24 |
$366.96 |