| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,274 |
997 |
$36K |
| V2020 |
Frames, purchases |
1,760 |
1,373 |
$18K |
| 92015 |
Determination of refractive state |
1,656 |
1,320 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
712 |
556 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,563 |
1,228 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
84 |
70 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
240 |
210 |
$37.04 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
859 |
603 |
$0.00 |
| 83861 |
|
72 |
48 |
$0.00 |