| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
760 |
718 |
$41K |
| V2020 |
Frames, purchases |
1,300 |
1,147 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
391 |
372 |
$20K |
| 92015 |
Determination of refractive state |
1,339 |
1,271 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,214 |
1,074 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,209 |
1,069 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
138 |
128 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
102 |
95 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
13 |
$0.00 |