| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,516 |
1,495 |
$134K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,512 |
2,431 |
$129K |
| V2020 |
Frames, purchases |
2,569 |
2,463 |
$93K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,138 |
2,076 |
$55K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,311 |
1,263 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
362 |
352 |
$36K |
| 92015 |
Determination of refractive state |
2,197 |
2,158 |
$29K |
| 92341 |
|
219 |
210 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
156 |
147 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
42 |
39 |
$1K |