| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,561 |
1,548 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
815 |
808 |
$33K |
| V2020 |
Frames, purchases |
1,574 |
1,563 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
671 |
664 |
$17K |
| 92015 |
Determination of refractive state |
3,171 |
3,092 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,886 |
1,872 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
183 |
182 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
401 |
395 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
165 |
163 |
$4K |
| 92341 |
|
136 |
122 |
$3K |
| 92250 |
|
62 |
48 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
37 |
$1K |