| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
913 |
808 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
331 |
325 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
135 |
133 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
263 |
256 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
192 |
186 |
$917.30 |
| V2020 |
Frames, purchases |
154 |
148 |
$288.72 |
| 92015 |
Determination of refractive state |
473 |
472 |
$134.12 |
| V2760 |
Scratch resistant coating, per lens |
122 |
117 |
$0.00 |
| 2022F |
|
457 |
454 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
62 |
62 |
$0.00 |