| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,510 |
2,468 |
$190K |
| 92250 |
|
4,027 |
3,934 |
$185K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,898 |
1,845 |
$184K |
| V2025 |
Deluxe frame |
1,171 |
1,160 |
$77K |
| V2020 |
Frames, purchases |
1,394 |
1,335 |
$63K |
| 92015 |
Determination of refractive state |
4,607 |
4,456 |
$58K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,081 |
1,054 |
$24K |
| 92083 |
|
308 |
299 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
193 |
192 |
$5K |
| 92025 |
|
122 |
121 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
40 |
39 |
$856.82 |