| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
796 |
764 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
577 |
565 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
941 |
686 |
$22K |
| V2020 |
Frames, purchases |
1,179 |
1,113 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,203 |
1,153 |
$1K |
| 92015 |
Determination of refractive state |
997 |
959 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
112 |
97 |
$779.52 |
| 2022F |
|
552 |
551 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
508 |
508 |
$0.00 |
| 3072F |
|
223 |
222 |
$0.00 |
| 92342 |
|
529 |
520 |
$0.00 |
| V2756 |
Eye glass case |
528 |
519 |
$0.00 |