| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,710 |
2,709 |
$173K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,587 |
2,586 |
$157K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,260 |
2,236 |
$75K |
| 92015 |
Determination of refractive state |
5,316 |
5,312 |
$67K |
| V2020 |
Frames, purchases |
986 |
985 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
375 |
375 |
$10K |
| V2750 |
Anti-reflective coating, per lens |
181 |
181 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
147 |
147 |
$8K |