| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,447 |
2,248 |
$96K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,227 |
2,043 |
$66K |
| 92015 |
Determination of refractive state |
3,296 |
3,028 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,242 |
1,083 |
$55K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
402 |
345 |
$12K |
| V2020 |
Frames, purchases |
172 |
165 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
87 |
67 |
$3K |
| 92341 |
|
43 |
41 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
33 |
31 |
$385.00 |
| V2025 |
Deluxe frame |
35 |
28 |
$378.00 |
| 3072F |
|
139 |
136 |
$0.00 |
| 2023F |
|
26 |
25 |
$0.00 |