| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,870 |
1,848 |
$96K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,493 |
1,471 |
$81K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,068 |
1,050 |
$56K |
| 92002 |
|
1,123 |
1,120 |
$56K |
| V2020 |
Frames, purchases |
1,124 |
1,089 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
989 |
940 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
246 |
$23K |
| 92015 |
Determination of refractive state |
831 |
799 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
888 |
852 |
$6K |
| 92250 |
|
32 |
31 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
15 |
$2K |