| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,233 |
13,233 |
$1.33M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,552 |
5,552 |
$678K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,434 |
12,429 |
$377K |
| 92015 |
Determination of refractive state |
15,647 |
15,645 |
$277K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,431 |
8,423 |
$232K |
| V2020 |
Frames, purchases |
12,464 |
12,458 |
$124K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,020 |
1,849 |
$121K |
| 92250 |
|
913 |
912 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
903 |
901 |
$25K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
73 |
73 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
51 |
51 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12,974 |
12,962 |
$242.49 |