| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,533 |
10,127 |
$900K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,643 |
11,082 |
$475K |
| 92015 |
Determination of refractive state |
14,784 |
14,192 |
$395K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,106 |
5,885 |
$378K |
| 92250 |
|
7,025 |
6,796 |
$244K |
| S0512 |
Daily wear specialty contact lens, per lens |
543 |
524 |
$153K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,293 |
1,282 |
$36K |
| S0592 |
Comprehensive contact lens evaluation |
567 |
543 |
$32K |
| 92370 |
|
576 |
543 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
213 |
209 |
$13K |
| V2020 |
Frames, purchases |
1,275 |
1,267 |
$13K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
40 |
36 |
$2K |