| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
910 |
866 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
587 |
564 |
$26K |
| V2020 |
Frames, purchases |
236 |
206 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
463 |
395 |
$3K |
| 92015 |
Determination of refractive state |
1,718 |
1,636 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
584 |
534 |
$2K |
| V2025 |
Deluxe frame |
300 |
282 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
782 |
687 |
$286.99 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
29 |
$215.26 |
| V2750 |
Anti-reflective coating, per lens |
67 |
49 |
$0.00 |
| V2499 |
Variable sphericity lens, other type |
14 |
14 |
$0.00 |