| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,225 |
6,889 |
$680K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,685 |
3,493 |
$419K |
| 92060 |
|
4,261 |
4,077 |
$212K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,625 |
2,418 |
$172K |
| 92015 |
Determination of refractive state |
7,592 |
7,222 |
$114K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
296 |
293 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
300 |
250 |
$7K |
| V2020 |
Frames, purchases |
375 |
368 |
$6K |
| 92002 |
|
57 |
55 |
$4K |
| V2750 |
Anti-reflective coating, per lens |
99 |
54 |
$877.43 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$222.79 |