| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,720 |
7,426 |
$348K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,589 |
7,302 |
$219K |
| 92015 |
Determination of refractive state |
12,746 |
12,228 |
$217K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,468 |
3,270 |
$142K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,751 |
984 |
$76K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
867 |
808 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,239 |
1,212 |
$36K |
| V2020 |
Frames, purchases |
1,102 |
1,083 |
$31K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
338 |
191 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
653 |
652 |
$8K |
| 92341 |
|
48 |
45 |
$1K |