| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,369 |
1,179 |
$116K |
| 92015 |
Determination of refractive state |
2,918 |
2,431 |
$63K |
| V2020 |
Frames, purchases |
2,369 |
1,946 |
$63K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,498 |
1,315 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,683 |
2,257 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
265 |
197 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
939 |
885 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
233 |
110 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
25 |
$2K |
| 92250 |
|
25 |
14 |
$120.98 |