| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,077 |
2,602 |
$234K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,328 |
2,594 |
$135K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,112 |
1,013 |
$116K |
| 92015 |
Determination of refractive state |
5,482 |
4,694 |
$101K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,656 |
2,975 |
$100K |
| V2020 |
Frames, purchases |
3,786 |
3,117 |
$99K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,493 |
3,741 |
$90K |
| 92250 |
|
900 |
761 |
$19K |