| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,466 |
1,428 |
$55K |
| V2020 |
Frames, purchases |
1,091 |
1,067 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
697 |
685 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
644 |
628 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
278 |
276 |
$12K |
| 92015 |
Determination of refractive state |
576 |
537 |
$11K |
| 92250 |
|
170 |
169 |
$4K |
| 92341 |
|
131 |
120 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
271 |
263 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
54 |
54 |
$1K |