| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
785 |
703 |
$49K |
| 92015 |
Determination of refractive state |
1,281 |
1,126 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
435 |
389 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
609 |
570 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
163 |
148 |
$10K |
| V2020 |
Frames, purchases |
356 |
334 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
121 |
99 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
202 |
190 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
45 |
44 |
$659.60 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
44 |
43 |
$654.64 |
| 82962 |
|
97 |
70 |
$160.19 |
| 36416 |
|
98 |
71 |
$107.51 |
| 3008F |
|
95 |
76 |
$0.00 |