| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,922 |
3,757 |
$224K |
| 92015 |
Determination of refractive state |
6,248 |
5,965 |
$196K |
| 92250 |
|
3,861 |
3,680 |
$183K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,150 |
3,776 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,224 |
1,166 |
$98K |
| V2020 |
Frames, purchases |
3,438 |
3,101 |
$55K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,465 |
1,273 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
502 |
420 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
920 |
809 |
$15K |