| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,578 |
3,384 |
$154K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,926 |
2,725 |
$132K |
| 92015 |
Determination of refractive state |
6,570 |
6,145 |
$116K |
| V2025 |
Deluxe frame |
1,809 |
1,683 |
$86K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,784 |
2,504 |
$81K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,948 |
2,672 |
$55K |
| V2020 |
Frames, purchases |
2,199 |
1,973 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,490 |
2,254 |
$20K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
420 |
381 |
$11K |
| 92341 |
|
347 |
308 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
72 |
62 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
34 |
$409.50 |