| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,442 |
5,940 |
$267K |
| 92015 |
Determination of refractive state |
9,197 |
8,421 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,738 |
2,470 |
$122K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,284 |
2,898 |
$93K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,483 |
3,103 |
$89K |
| V2025 |
Deluxe frame |
1,184 |
1,101 |
$59K |
| V2020 |
Frames, purchases |
3,449 |
3,075 |
$42K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
868 |
833 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,823 |
2,424 |
$27K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
386 |
335 |
$16K |
| 92341 |
|
333 |
292 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
345 |
335 |
$4K |