| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,124 |
990 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,707 |
1,266 |
$30K |
| V2020 |
Frames, purchases |
1,851 |
1,586 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
598 |
541 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,854 |
1,582 |
$8K |
| 92015 |
Determination of refractive state |
2,078 |
1,875 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
375 |
262 |
$1K |
| V2756 |
Eye glass case |
234 |
234 |
$0.00 |
| 92342 |
|
239 |
238 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
32 |
16 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
189 |
188 |
$0.00 |
| 2022F |
|
108 |
107 |
$0.00 |