| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,894 |
1,748 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,076 |
991 |
$81K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,673 |
1,559 |
$50K |
| V2020 |
Frames, purchases |
2,304 |
2,100 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,111 |
1,052 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
652 |
550 |
$17K |
| 92081 |
|
419 |
362 |
$9K |
| 92015 |
Determination of refractive state |
948 |
831 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
170 |
148 |
$3K |
| 92250 |
|
71 |
67 |
$1K |