| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
852 |
821 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
623 |
610 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
827 |
777 |
$6K |
| V2020 |
Frames, purchases |
1,066 |
1,032 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
186 |
178 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,002 |
977 |
$912.88 |
| 92015 |
Determination of refractive state |
1,155 |
1,126 |
$522.65 |
| V2025 |
Deluxe frame |
417 |
400 |
$56.66 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
308 |
308 |
$0.00 |
| 2022F |
|
310 |
308 |
$0.00 |
| V2756 |
Eye glass case |
1,052 |
1,028 |
$0.00 |
| 3072F |
|
93 |
93 |
$0.00 |
| 92342 |
|
282 |
281 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$0.00 |