| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
18,658 |
18,494 |
$1.81M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,471 |
10,387 |
$1.21M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,876 |
1,738 |
$125K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,830 |
4,796 |
$117K |
| V2020 |
Frames, purchases |
5,173 |
5,132 |
$96K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,740 |
1,730 |
$37K |
| 92015 |
Determination of refractive state |
887 |
880 |
$13K |
| 3072F |
|
618 |
607 |
$5K |
| 92083 |
|
24 |
24 |
$1K |
| 2022F |
|
345 |
341 |
$550.00 |
| 5010F |
|
216 |
213 |
$0.00 |