| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,848 |
1,756 |
$214K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,142 |
2,030 |
$207K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,290 |
1,158 |
$51K |
| V2020 |
Frames, purchases |
1,148 |
1,026 |
$49K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
638 |
583 |
$45K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
866 |
780 |
$43K |
| V2750 |
Anti-reflective coating, per lens |
1,285 |
1,150 |
$34K |
| V2781 |
Progressive lens, per lens |
414 |
364 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,308 |
1,172 |
$23K |
| V2744 |
Tint, photochromatic, per lens |
320 |
290 |
$5K |
| 92015 |
Determination of refractive state |
4,453 |
4,191 |
$1K |