| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,052 |
4,968 |
$407K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,933 |
1,899 |
$200K |
| 92015 |
Determination of refractive state |
8,545 |
8,395 |
$106K |
| V2020 |
Frames, purchases |
2,685 |
2,555 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,908 |
2,867 |
$74K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,412 |
2,305 |
$66K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,998 |
1,017 |
$54K |
| 92341 |
|
169 |
167 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
45 |
25 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$732.96 |
| 92370 |
|
14 |
13 |
$328.40 |