| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,856 |
9,832 |
$141K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,775 |
6,738 |
$62K |
| V2020 |
Frames, purchases |
6,449 |
6,412 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,550 |
4,414 |
$47K |
| 92250 |
|
1,115 |
1,099 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
575 |
572 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,459 |
2,278 |
$28K |
| 92002 |
|
490 |
485 |
$21K |
| 92015 |
Determination of refractive state |
5,376 |
5,353 |
$20K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,552 |
1,514 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,297 |
2,286 |
$12K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
300 |
300 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
307 |
169 |
$0.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
104 |
104 |
$0.00 |
| 3072F |
|
1,841 |
1,824 |
$0.00 |