| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,182 |
2,135 |
$147K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,510 |
1,443 |
$126K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,331 |
3,231 |
$57K |
| V2020 |
Frames, purchases |
3,302 |
3,207 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,566 |
2,503 |
$34K |
| 92015 |
Determination of refractive state |
3,855 |
3,729 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,006 |
1,887 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,297 |
834 |
$9K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
15 |
15 |
$380.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
46 |
36 |
$363.34 |