| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,659 |
6,241 |
$256K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,150 |
5,790 |
$181K |
| 92015 |
Determination of refractive state |
8,891 |
8,377 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,254 |
3,062 |
$142K |
| V2020 |
Frames, purchases |
768 |
716 |
$21K |
| 92341 |
|
279 |
274 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
140 |
124 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
260 |
239 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
75 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
235 |
205 |
$1K |
| 92201 |
|
172 |
170 |
$884.82 |
| 92225 |
|
28 |
12 |
$694.60 |
| 92134 |
|
13 |
13 |
$143.11 |
| 2023F |
|
108 |
108 |
$0.00 |