| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,021 |
949 |
$75K |
| V2020 |
Frames, purchases |
919 |
878 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
304 |
294 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
320 |
252 |
$3K |
| 92015 |
Determination of refractive state |
1,382 |
1,335 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
573 |
368 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
161 |
138 |
$2K |
| 92250 |
|
46 |
46 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
774 |
746 |
$1K |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
13 |
13 |
$0.00 |
| 92341 |
|
13 |
13 |
$0.00 |
| 99072 |
|
22 |
21 |
$0.00 |