| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,913 |
4,477 |
$189K |
| 92015 |
Determination of refractive state |
5,226 |
4,799 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,899 |
2,607 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
987 |
910 |
$44K |
| 92341 |
|
638 |
618 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
878 |
747 |
$18K |
| V2020 |
Frames, purchases |
722 |
676 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
288 |
278 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
107 |
100 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
226 |
217 |
$1K |
| 3072F |
|
51 |
51 |
$0.00 |