| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
784 |
739 |
$72K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,073 |
1,009 |
$70K |
| V2020 |
Frames, purchases |
1,719 |
1,655 |
$57K |
| 92015 |
Determination of refractive state |
3,325 |
2,926 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,157 |
2,018 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
585 |
575 |
$17K |
| 92002 |
|
81 |
76 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
37 |
36 |
$704.90 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
13 |
$259.28 |
| 2025F |
|
372 |
350 |
$0.00 |
| 2024F |
|
315 |
269 |
$0.00 |