| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,632 |
1,565 |
$107K |
| 92015 |
Determination of refractive state |
2,398 |
2,292 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
767 |
736 |
$65K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
971 |
939 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,436 |
1,337 |
$23K |
| 92250 |
|
565 |
535 |
$22K |
| V2020 |
Frames, purchases |
1,484 |
1,439 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
514 |
504 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
114 |
110 |
$2K |