| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,446 |
1,388 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,995 |
1,896 |
$53K |
| V2020 |
Frames, purchases |
2,218 |
2,000 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
997 |
921 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,089 |
1,871 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
566 |
528 |
$12K |
| V2760 |
Scratch resistant coating, per lens |
1,766 |
1,650 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
56 |
$5K |
| 92015 |
Determination of refractive state |
904 |
870 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
12 |
$204.80 |
| 99072 |
|
14 |
13 |
$0.00 |