| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,253 |
1,217 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
390 |
387 |
$25K |
| V2020 |
Frames, purchases |
1,671 |
1,607 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,487 |
1,442 |
$5K |
| 92015 |
Determination of refractive state |
1,882 |
1,837 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,393 |
1,266 |
$3K |
| 92342 |
|
262 |
262 |
$0.00 |
| V2756 |
Eye glass case |
262 |
262 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
76 |
38 |
$0.00 |
| 3072F |
|
24 |
24 |
$0.00 |
| 2022F |
|
193 |
193 |
$0.00 |
| 92341 |
|
14 |
14 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
67 |
67 |
$0.00 |