| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,308 |
1,290 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,981 |
1,958 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
380 |
379 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
755 |
750 |
$18K |
| V2020 |
Frames, purchases |
970 |
957 |
$17K |
| 92015 |
Determination of refractive state |
1,964 |
1,934 |
$16K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
195 |
186 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
998 |
928 |
$5K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
72 |
72 |
$4K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
44 |
44 |
$440.00 |
| 92341 |
|
14 |
14 |
$321.72 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
136 |
80 |
$0.00 |