| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,058 |
3,637 |
$327K |
| 92015 |
Determination of refractive state |
6,017 |
5,177 |
$168K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,235 |
1,149 |
$131K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,889 |
1,561 |
$92K |
| V2020 |
Frames, purchases |
3,005 |
2,627 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,030 |
3,576 |
$69K |
| 92082 |
|
1,968 |
1,694 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,008 |
1,753 |
$45K |
| 92133 |
|
666 |
586 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
150 |
146 |
$4K |
| 92250 |
|
118 |
108 |
$4K |
| 92134 |
|
71 |
64 |
$1K |
| 92083 |
|
14 |
14 |
$461.45 |
| 92020 |
|
14 |
13 |
$250.57 |
| 2023F |
|
458 |
427 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
97 |
94 |
$0.00 |