| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
950 |
919 |
$108K |
| V2020 |
Frames, purchases |
1,393 |
1,344 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
429 |
415 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,112 |
1,010 |
$37K |
| 92015 |
Determination of refractive state |
1,718 |
1,655 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,311 |
1,279 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
177 |
175 |
$5K |
| 92002 |
|
67 |
67 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
77 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
206 |
195 |
$4K |
| 2023F |
|
797 |
772 |
$0.00 |