| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
958 |
835 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
509 |
433 |
$20K |
| V2020 |
Frames, purchases |
779 |
690 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,042 |
468 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
778 |
414 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
237 |
236 |
$4K |
| 92250 |
|
178 |
158 |
$3K |
| 92015 |
Determination of refractive state |
597 |
487 |
$2K |