| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,436 |
6,368 |
$537K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,352 |
6,309 |
$425K |
| V2020 |
Frames, purchases |
3,690 |
3,615 |
$162K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,346 |
1,240 |
$89K |
| 92015 |
Determination of refractive state |
13,967 |
13,830 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,634 |
7,575 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,434 |
807 |
$37K |
| V2744 |
Tint, photochromatic, per lens |
154 |
124 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
24 |
$1K |