| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,094 |
6,049 |
$512K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,737 |
4,668 |
$438K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,852 |
4,188 |
$183K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,764 |
7,687 |
$179K |
| V2020 |
Frames, purchases |
6,116 |
6,053 |
$176K |
| 92015 |
Determination of refractive state |
11,222 |
11,098 |
$137K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,742 |
5,698 |
$125K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,649 |
3,202 |
$97K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,049 |
1,874 |
$62K |
| 92370 |
|
1,209 |
1,206 |
$23K |
| 92341 |
|
717 |
710 |
$20K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
260 |
227 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
216 |
208 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
170 |
164 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
29 |
26 |
$582.53 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
15 |
15 |
$431.00 |
| 92133 |
|
67 |
66 |
$0.00 |
| 92020 |
|
67 |
66 |
$0.00 |
| 92250 |
|
88 |
87 |
$0.00 |