| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,090 |
2,018 |
$124K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,164 |
1,118 |
$86K |
| V2020 |
Frames, purchases |
2,290 |
2,199 |
$60K |
| 92015 |
Determination of refractive state |
4,201 |
4,072 |
$21K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
647 |
370 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,539 |
1,521 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
129 |
71 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
40 |
20 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
27 |
18 |
$816.92 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
23 |
12 |
$575.00 |