| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,911 |
4,905 |
$491K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,377 |
2,373 |
$291K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,965 |
5,946 |
$181K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,621 |
4,589 |
$128K |
| 92015 |
Determination of refractive state |
5,721 |
5,702 |
$101K |
| V2020 |
Frames, purchases |
5,976 |
5,953 |
$59K |
| 92083 |
|
1,241 |
1,237 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
501 |
470 |
$32K |
| 92250 |
|
1,088 |
1,087 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
829 |
827 |
$23K |
| 92134 |
|
57 |
57 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,898 |
5,862 |
$0.00 |