| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,858 |
1,763 |
$66K |
| 92015 |
Determination of refractive state |
3,797 |
3,664 |
$66K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,824 |
1,765 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,032 |
979 |
$43K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,070 |
1,870 |
$41K |
| 92341 |
|
548 |
534 |
$16K |
| V2020 |
Frames, purchases |
670 |
616 |
$16K |
| 92002 |
|
237 |
234 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
281 |
274 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
129 |
121 |
$2K |
| 92225 |
|
62 |
41 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
212 |
197 |
$1K |
| 92134 |
|
38 |
36 |
$526.16 |