| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,115 |
6,553 |
$307K |
| 92015 |
Determination of refractive state |
10,304 |
9,496 |
$183K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,841 |
4,328 |
$141K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,077 |
2,844 |
$138K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,588 |
4,139 |
$80K |
| V2025 |
Deluxe frame |
1,815 |
1,687 |
$69K |
| V2020 |
Frames, purchases |
4,327 |
3,890 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,148 |
3,683 |
$34K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
955 |
859 |
$25K |
| 92341 |
|
860 |
769 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
172 |
151 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
26 |
$1K |