| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,694 |
1,388 |
$69K |
| 92015 |
Determination of refractive state |
2,880 |
2,452 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,116 |
975 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,233 |
972 |
$36K |
| V2020 |
Frames, purchases |
1,170 |
921 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
661 |
490 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
350 |
269 |
$3K |
| 92341 |
|
42 |
41 |
$1K |
| 92250 |
|
16 |
12 |
$436.38 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
13 |
$279.60 |