| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,435 |
18,127 |
$1.03M |
| 92015 |
Determination of refractive state |
14,789 |
14,222 |
$595K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,271 |
5,829 |
$509K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,148 |
12,363 |
$376K |
| 92250 |
|
7,528 |
6,763 |
$214K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
7,147 |
5,902 |
$213K |
| V2020 |
Frames, purchases |
9,513 |
8,758 |
$139K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,263 |
4,762 |
$86K |
| 92083 |
|
3,243 |
2,836 |
$64K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,401 |
1,303 |
$23K |
| 92065 |
|
491 |
137 |
$14K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
864 |
794 |
$12K |
| 92133 |
|
747 |
664 |
$11K |
| 92134 |
|
566 |
539 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
118 |
107 |
$7K |
| 92286 |
|
196 |
181 |
$4K |
| 92273 |
|
139 |
132 |
$4K |
| 92275 |
|
89 |
81 |
$2K |
| 92002 |
|
30 |
26 |
$1K |
| 95930 |
|
37 |
30 |
$577.36 |
| 76512 |
|
13 |
12 |
$330.49 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$170.85 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
48 |
48 |
$0.00 |