| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,106 |
9,050 |
$548K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,211 |
3,180 |
$231K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,417 |
11,272 |
$226K |
| 92015 |
Determination of refractive state |
11,140 |
11,071 |
$128K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,395 |
7,341 |
$103K |
| V2020 |
Frames, purchases |
7,389 |
7,337 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
945 |
847 |
$48K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,395 |
7,343 |
$29K |