| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,353 |
1,269 |
$84K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
739 |
698 |
$57K |
| V2755 |
U-v lens, per lens |
689 |
651 |
$56K |
| V2750 |
Anti-reflective coating, per lens |
692 |
648 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,265 |
2,141 |
$37K |
| 92015 |
Determination of refractive state |
2,463 |
2,321 |
$20K |
| 92250 |
|
329 |
308 |
$14K |
| V2020 |
Frames, purchases |
1,166 |
1,107 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
984 |
930 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
316 |
301 |
$6K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
354 |
335 |
$5K |