| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
68,715 |
65,878 |
$825K |
| T2002 |
Non-emergency transportation; per diem |
85,775 |
85,691 |
$813K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
22,754 |
21,878 |
$600K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
37,032 |
35,922 |
$546K |
| 92341 |
|
10,699 |
9,902 |
$239K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14,612 |
14,158 |
$211K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14,162 |
14,047 |
$111K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,025 |
3,758 |
$106K |
| 92250 |
|
4,634 |
4,388 |
$38K |
| V2020 |
Frames, purchases |
347 |
342 |
$11K |
| 92002 |
|
562 |
556 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
65 |
$4K |
| 92202 |
|
386 |
368 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
162 |
157 |
$2K |
| 76514 |
|
597 |
577 |
$718.13 |
| 99307 |
|
50 |
50 |
$573.09 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$89.86 |
| 92285 |
|
13 |
13 |
$38.27 |
| 2019F |
|
1,879 |
1,877 |
$0.00 |
| 2022F |
|
3,057 |
3,047 |
$0.00 |
| 2027F |
|
512 |
511 |
$0.00 |
| V2025 |
Deluxe frame |
46 |
46 |
$0.00 |