| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
835 |
791 |
$76K |
| 92250 |
|
1,526 |
1,432 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
395 |
368 |
$43K |
| V2020 |
Frames, purchases |
253 |
221 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
288 |
251 |
$5K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
42 |
38 |
$3K |
| 92015 |
Determination of refractive state |
2,395 |
2,256 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
155 |
144 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
14 |
$1K |
| V2025 |
Deluxe frame |
14 |
12 |
$907.44 |