| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,120 |
1,049 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,558 |
1,449 |
$73K |
| V2020 |
Frames, purchases |
1,858 |
1,728 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
942 |
853 |
$30K |
| 92015 |
Determination of refractive state |
2,932 |
2,747 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
78 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,979 |
1,804 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
70 |
63 |
$185.00 |
| 92341 |
|
12 |
12 |
$75.00 |