| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,465 |
5,326 |
$444K |
| V2020 |
Frames, purchases |
4,875 |
4,643 |
$161K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,563 |
1,532 |
$148K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,862 |
2,348 |
$121K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,764 |
4,645 |
$116K |
| 92015 |
Determination of refractive state |
8,239 |
8,033 |
$101K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
390 |
366 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
302 |
292 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
265 |
181 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
325 |
325 |
$8K |