| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,322 |
2,128 |
$93K |
| 92015 |
Determination of refractive state |
1,878 |
1,737 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
525 |
486 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
777 |
713 |
$11K |
| V2020 |
Frames, purchases |
1,125 |
1,022 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
419 |
385 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
117 |
$9K |
| 92250 |
|
102 |
86 |
$4K |
| 92283 |
|
28 |
26 |
$609.10 |
| 99310 |
Prolong nursin fac eval 15m |
17 |
16 |
$209.68 |