| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,854 |
2,800 |
$123K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,292 |
1,270 |
$57K |
| V2025 |
Deluxe frame |
1,048 |
1,044 |
$50K |
| V2020 |
Frames, purchases |
2,699 |
2,656 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,815 |
2,770 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,175 |
1,168 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,665 |
1,644 |
$5K |
| 92015 |
Determination of refractive state |
231 |
225 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,605 |
1,582 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
165 |
161 |
$450.00 |