| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,075 |
8,051 |
$350K |
| V2020 |
Frames, purchases |
7,571 |
7,513 |
$161K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,994 |
1,956 |
$131K |
| 92015 |
Determination of refractive state |
8,771 |
8,748 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,853 |
4,827 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
685 |
682 |
$30K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
747 |
743 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
732 |
728 |
$23K |
| 92341 |
|
572 |
570 |
$9K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
303 |
302 |
$9K |
| 92250 |
|
117 |
116 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
30 |
$770.35 |