| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,782 |
6,658 |
$601K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,612 |
5,518 |
$437K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,543 |
3,496 |
$219K |
| V2020 |
Frames, purchases |
7,274 |
7,138 |
$173K |
| 92015 |
Determination of refractive state |
15,709 |
15,326 |
$35K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,944 |
2,888 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
892 |
877 |
$13K |
| V2755 |
U-v lens, per lens |
2,860 |
2,810 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
51 |
51 |
$799.36 |