| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,140 |
2,057 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,069 |
1,003 |
$71K |
| 92015 |
Determination of refractive state |
1,900 |
1,828 |
$60K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,195 |
1,920 |
$54K |
| 92250 |
|
1,503 |
1,429 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,284 |
1,182 |
$37K |
| 92083 |
|
1,079 |
1,009 |
$26K |
| V2020 |
Frames, purchases |
1,240 |
1,105 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
422 |
389 |
$7K |
| 92134 |
|
386 |
366 |
$6K |
| 92133 |
|
277 |
253 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
96 |
84 |
$1K |
| 92285 |
|
22 |
22 |
$420.06 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
101 |
93 |
$0.00 |