| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,936 |
6,771 |
$625K |
| 92060 |
|
9,382 |
9,186 |
$456K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,406 |
3,351 |
$385K |
| 92015 |
Determination of refractive state |
10,610 |
10,387 |
$150K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,659 |
1,597 |
$111K |
| 92285 |
|
4,994 |
4,900 |
$81K |
| V2020 |
Frames, purchases |
448 |
420 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
363 |
339 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
470 |
435 |
$6K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
25 |
13 |
$279.25 |