| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
985 |
935 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
564 |
540 |
$44K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
844 |
793 |
$5K |
| V2020 |
Frames, purchases |
1,462 |
1,373 |
$5K |
| 92015 |
Determination of refractive state |
1,673 |
1,592 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,209 |
1,140 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
232 |
228 |
$966.38 |
| 92250 |
|
1,369 |
1,306 |
$27.91 |
| V2799 |
Vision item or service, miscellaneous |
13 |
13 |
$0.00 |