| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,420 |
2,414 |
$233K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,446 |
2,421 |
$174K |
| 68040 |
|
1,522 |
1,510 |
$118K |
| 92083 |
|
2,046 |
2,028 |
$108K |
| 76512 |
|
899 |
842 |
$97K |
| 68761 |
|
540 |
501 |
$91K |
| 92250 |
|
1,926 |
1,908 |
$89K |
| 92226 |
|
2,166 |
1,939 |
$76K |
| 92286 |
|
1,017 |
1,017 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
315 |
315 |
$36K |
| 92025 |
|
730 |
729 |
$22K |
| 92100 |
|
300 |
300 |
$20K |
| 92133 |
|
482 |
481 |
$15K |
| 92285 |
|
585 |
582 |
$13K |
| 92134 |
|
387 |
387 |
$13K |
| 92225 |
|
343 |
302 |
$13K |
| 92020 |
|
583 |
581 |
$12K |
| 92015 |
Determination of refractive state |
186 |
186 |
$3K |
| V2020 |
Frames, purchases |
64 |
64 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
41 |
$3K |
| 67820 |
|
46 |
46 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
23 |
23 |
$668.38 |
| 76514 |
|
48 |
48 |
$577.67 |
| 92201 |
|
18 |
18 |
$365.58 |
| 92202 |
|
14 |
14 |
$179.20 |