| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,439 |
1,383 |
$65K |
| 92015 |
Determination of refractive state |
2,824 |
2,695 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
379 |
362 |
$23K |
| V2020 |
Frames, purchases |
260 |
240 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
55 |
48 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
190 |
175 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
78 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
80 |
$1K |
| 92250 |
|
14 |
13 |
$530.20 |
| V2756 |
Eye glass case |
273 |
247 |
$229.85 |
| V2025 |
Deluxe frame |
125 |
117 |
$0.00 |