| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,512 |
2,433 |
$185K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
761 |
732 |
$69K |
| V2020 |
Frames, purchases |
1,744 |
1,681 |
$54K |
| 92015 |
Determination of refractive state |
4,344 |
4,203 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,474 |
1,441 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,552 |
918 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
688 |
662 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
169 |
117 |
$2K |
| 92250 |
|
77 |
74 |
$2K |
| 92341 |
|
14 |
13 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
12 |
$0.00 |