| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
499 |
490 |
$42K |
| V2020 |
Frames, purchases |
1,948 |
1,830 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
429 |
412 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,524 |
1,446 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,355 |
1,289 |
$27K |
| 92015 |
Determination of refractive state |
1,711 |
1,649 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,045 |
991 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
250 |
243 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$235.03 |