| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
536 |
523 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
179 |
172 |
$11K |
| V2020 |
Frames, purchases |
791 |
769 |
$10K |
| 92015 |
Determination of refractive state |
892 |
866 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
598 |
580 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
155 |
147 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
243 |
238 |
$0.00 |
| 92250 |
|
15 |
14 |
$0.00 |
| 3072F |
|
28 |
25 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
25 |
$0.00 |
| 2023F |
|
15 |
14 |
$0.00 |
| 5010F |
|
787 |
767 |
$0.00 |