| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
708 |
644 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,362 |
2,178 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
399 |
366 |
$31K |
| V2750 |
Anti-reflective coating, per lens |
257 |
251 |
$24K |
| 92015 |
Determination of refractive state |
2,236 |
2,016 |
$16K |
| V2020 |
Frames, purchases |
763 |
743 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
749 |
732 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
227 |
225 |
$4K |
| V2755 |
U-v lens, per lens |
324 |
319 |
$1K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
26 |
25 |
$1K |
| 92370 |
|
52 |
49 |
$247.22 |