| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,987 |
3,949 |
$266K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,771 |
2,747 |
$209K |
| 92015 |
Determination of refractive state |
8,717 |
8,604 |
$105K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,157 |
1,025 |
$55K |
| V2020 |
Frames, purchases |
984 |
962 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,477 |
1,444 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
567 |
538 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
433 |
414 |
$8K |
| 92310 |
|
43 |
42 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$523.78 |