| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,180 |
6,115 |
$196K |
| 92015 |
Determination of refractive state |
4,947 |
4,865 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
619 |
609 |
$18K |
| 92310 |
|
687 |
682 |
$9K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
654 |
645 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
592 |
592 |
$1K |
| V2020 |
Frames, purchases |
755 |
755 |
$1K |
| V2521 |
Contact lens, hydrophilic, toric, or prism ballast, per lens |
12 |
12 |
$610.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
221 |
221 |
$325.50 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
25 |
$147.00 |
| 2023F |
|
293 |
282 |
$0.00 |