| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,801 |
3,712 |
$275K |
| 92015 |
Determination of refractive state |
4,381 |
4,258 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,944 |
1,922 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
405 |
393 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
705 |
647 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
381 |
366 |
$7K |
| V2020 |
Frames, purchases |
143 |
137 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
210 |
187 |
$4K |