| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,078 |
995 |
$54K |
| 92015 |
Determination of refractive state |
1,373 |
1,283 |
$44K |
| 92250 |
|
705 |
637 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
464 |
440 |
$13K |
| V2020 |
Frames, purchases |
982 |
916 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
398 |
374 |
$6K |
| 92283 |
|
236 |
216 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
551 |
518 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
25 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$23.80 |
| 1036F |
|
27 |
26 |
$0.00 |
| 2025F |
|
32 |
30 |
$0.00 |
| 99072 |
|
37 |
32 |
$0.00 |