| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,641 |
2,424 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,050 |
985 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,178 |
1,958 |
$66K |
| V2020 |
Frames, purchases |
869 |
753 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,011 |
917 |
$20K |
| 92002 |
|
269 |
262 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
152 |
127 |
$3K |
| 92136 |
|
379 |
311 |
$2K |
| 92341 |
|
40 |
38 |
$1K |
| 92083 |
|
15 |
12 |
$1K |
| 92133 |
|
143 |
128 |
$539.77 |
| 76514 |
|
181 |
160 |
$235.42 |
| 3072F |
|
320 |
319 |
$0.00 |