| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,378 |
2,337 |
$107K |
| V2025 |
Deluxe frame |
1,650 |
1,650 |
$80K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,521 |
1,507 |
$73K |
| V2020 |
Frames, purchases |
1,431 |
1,398 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,142 |
2,134 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,279 |
1,237 |
$30K |
| 92015 |
Determination of refractive state |
2,515 |
2,470 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,198 |
1,132 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
703 |
698 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
13 |
$302.40 |