| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,700 |
1,584 |
$164K |
| V2020 |
Frames, purchases |
1,939 |
1,836 |
$65K |
| 92015 |
Determination of refractive state |
2,127 |
2,005 |
$47K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
973 |
933 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
223 |
221 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,570 |
1,500 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
179 |
172 |
$6K |
| 92250 |
|
42 |
37 |
$2K |
| 92341 |
|
40 |
37 |
$509.12 |
| 1036F |
|
148 |
143 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
871 |
813 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
109 |
104 |
$0.00 |
| 83861 |
|
172 |
82 |
$0.00 |