| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
620 |
595 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
334 |
314 |
$31K |
| V2020 |
Frames, purchases |
726 |
680 |
$23K |
| 92250 |
|
1,008 |
964 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
923 |
897 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
581 |
554 |
$19K |
| 92015 |
Determination of refractive state |
1,174 |
1,124 |
$14K |
| 92341 |
|
201 |
181 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
74 |
39 |
$1K |