| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,364 |
2,319 |
$147K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,732 |
1,704 |
$140K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,941 |
2,907 |
$61K |
| 92015 |
Determination of refractive state |
5,051 |
4,941 |
$50K |
| 92250 |
|
579 |
555 |
$13K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
133 |
120 |
$0.00 |
| V2020 |
Frames, purchases |
1,988 |
1,854 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
33 |
24 |
$0.00 |
| 99072 |
|
17 |
17 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
205 |
192 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,220 |
1,178 |
$0.00 |