| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,311 |
1,245 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,209 |
2,070 |
$35K |
| V2755 |
U-v lens, per lens |
447 |
425 |
$35K |
| V2750 |
Anti-reflective coating, per lens |
435 |
413 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
362 |
345 |
$27K |
| 92015 |
Determination of refractive state |
2,234 |
2,106 |
$18K |
| V2020 |
Frames, purchases |
1,054 |
997 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
384 |
327 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
817 |
767 |
$8K |
| 92250 |
|
131 |
123 |
$5K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
162 |
154 |
$3K |