| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,089 |
10,507 |
$245K |
| 92015 |
Determination of refractive state |
14,463 |
14,303 |
$215K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,976 |
5,620 |
$198K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,679 |
3,628 |
$188K |
| V2020 |
Frames, purchases |
4,828 |
4,737 |
$139K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,740 |
8,439 |
$135K |
| 92250 |
|
9,295 |
8,546 |
$121K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,014 |
1,004 |
$73K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
264 |
241 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
320 |
318 |
$10K |
| 92275 |
|
500 |
435 |
$10K |
| 92273 |
|
1,388 |
1,268 |
$10K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
161 |
157 |
$7K |
| 67820 |
|
136 |
134 |
$1K |
| 92020 |
|
124 |
123 |
$698.99 |
| 92002 |
|
14 |
14 |
$115.11 |
| 76514 |
|
12 |
12 |
$35.61 |