| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,383 |
2,317 |
$103K |
| 92015 |
Determination of refractive state |
3,951 |
3,790 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,346 |
2,235 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,433 |
1,391 |
$66K |
| V2025 |
Deluxe frame |
1,479 |
1,410 |
$40K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,299 |
2,202 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,904 |
1,833 |
$17K |
| V2020 |
Frames, purchases |
1,540 |
1,481 |
$16K |
| 92341 |
|
454 |
435 |
$13K |
| 92250 |
|
296 |
280 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
443 |
427 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$216.04 |