| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,330 |
2,296 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,831 |
1,804 |
$139K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,488 |
5,400 |
$85K |
| 92015 |
Determination of refractive state |
4,545 |
4,498 |
$75K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
196 |
189 |
$6K |
| V2020 |
Frames, purchases |
109 |
101 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
19 |
$789.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
78 |
77 |
$626.02 |
| 3072F |
|
56 |
55 |
$0.00 |