| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
976 |
963 |
$99K |
| 92015 |
Determination of refractive state |
1,813 |
1,785 |
$76K |
| V2020 |
Frames, purchases |
1,785 |
1,749 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
406 |
404 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,453 |
1,430 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
516 |
509 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
78 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
155 |
154 |
$6K |
| 92341 |
|
42 |
42 |
$707.52 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
472 |
466 |
$0.00 |