| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,493 |
1,489 |
$62K |
| V2020 |
Frames, purchases |
2,297 |
2,290 |
$49K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
410 |
408 |
$36K |
| 92015 |
Determination of refractive state |
3,905 |
3,896 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
724 |
721 |
$31K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,197 |
1,180 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
366 |
365 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
997 |
994 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
41 |
$2K |
| 92341 |
|
53 |
52 |
$842.70 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$805.20 |