| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,637 |
8,393 |
$578K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,424 |
4,322 |
$400K |
| V2020 |
Frames, purchases |
9,006 |
8,511 |
$242K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,167 |
7,026 |
$221K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,836 |
7,533 |
$144K |
| 92015 |
Determination of refractive state |
5,798 |
5,756 |
$115K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,268 |
5,926 |
$103K |
| 92370 |
|
630 |
595 |
$16K |
| 92341 |
|
164 |
163 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
362 |
338 |
$5K |
| 2022F |
|
12 |
12 |
$0.00 |