| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,073 |
2,834 |
$129K |
| 92015 |
Determination of refractive state |
4,479 |
4,156 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,702 |
1,559 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,423 |
2,342 |
$71K |
| V2020 |
Frames, purchases |
248 |
209 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
182 |
156 |
$1K |
| 92341 |
|
21 |
21 |
$614.88 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
213 |
172 |
$322.50 |
| 92083 |
|
12 |
12 |
$291.12 |
| 92250 |
|
14 |
13 |
$271.12 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$203.30 |