| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,979 |
3,686 |
$339K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,948 |
2,830 |
$328K |
| 92015 |
Determination of refractive state |
7,393 |
6,808 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,581 |
4,034 |
$105K |
| V2020 |
Frames, purchases |
2,229 |
1,754 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,123 |
797 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,517 |
1,169 |
$32K |
| 92250 |
|
364 |
344 |
$7K |
| 2023F |
|
3,492 |
3,025 |
$5K |
| 92002 |
|
78 |
77 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
114 |
88 |
$3K |
| 92341 |
|
13 |
12 |
$325.34 |
| 3072F |
|
35 |
35 |
$20.00 |