| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,993 |
3,988 |
$287K |
| 92250 |
|
5,657 |
5,645 |
$252K |
| 92083 |
|
4,993 |
4,967 |
$235K |
| 92285 |
|
5,419 |
5,406 |
$122K |
| 92286 |
|
1,227 |
1,226 |
$99K |
| 92060 |
|
2,479 |
2,468 |
$90K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,463 |
1,461 |
$82K |
| 76512 |
|
1,199 |
753 |
$77K |
| 68761 |
|
1,073 |
634 |
$74K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,635 |
1,166 |
$30K |
| V2020 |
Frames, purchases |
2,142 |
2,140 |
$25K |
| 92015 |
Determination of refractive state |
1,468 |
1,468 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
757 |
757 |
$10K |
| 76514 |
|
592 |
592 |
$5K |
| 92025 |
|
171 |
171 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
109 |
102 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
409 |
409 |
$4K |
| 92020 |
|
197 |
197 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
29 |
25 |
$787.64 |