| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,011 |
987 |
$68K |
| V2020 |
Frames, purchases |
1,346 |
1,311 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,211 |
1,177 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
317 |
305 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
391 |
363 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
882 |
850 |
$7K |
| V2755 |
U-v lens, per lens |
527 |
507 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
216 |
204 |
$4K |
| V2760 |
Scratch resistant coating, per lens |
1,009 |
972 |
$2K |
| 92015 |
Determination of refractive state |
1,556 |
1,525 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34 |
34 |
$0.00 |