| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,885 |
1,748 |
$167K |
| 92015 |
Determination of refractive state |
4,363 |
4,157 |
$155K |
| V2020 |
Frames, purchases |
4,463 |
4,250 |
$146K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,761 |
3,590 |
$133K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
802 |
761 |
$92K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
969 |
964 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,425 |
3,261 |
$63K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
507 |
478 |
$23K |
| 92002 |
|
241 |
241 |
$16K |
| 92341 |
|
447 |
417 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
133 |
131 |
$0.00 |