| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,817 |
8,153 |
$387K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,037 |
10,127 |
$326K |
| V2025 |
Deluxe frame |
5,545 |
5,346 |
$207K |
| 92015 |
Determination of refractive state |
11,313 |
10,252 |
$203K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,339 |
3,802 |
$193K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,486 |
1,445 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,235 |
1,209 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
964 |
917 |
$7K |
| V2020 |
Frames, purchases |
65 |
65 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
183 |
183 |
$2K |
| 3072F |
|
1,905 |
1,905 |
$0.00 |