| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,435 |
2,373 |
$99K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,515 |
2,494 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
884 |
818 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
524 |
514 |
$13K |
| V2020 |
Frames, purchases |
792 |
778 |
$13K |
| 92015 |
Determination of refractive state |
4,256 |
4,205 |
$10K |
| 92283 |
|
360 |
349 |
$5K |
| 92310 |
|
43 |
43 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
399 |
386 |
$3K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
16 |
16 |
$1K |
| 2023F |
|
301 |
297 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |