| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,770 |
1,692 |
$171K |
| V2020 |
Frames, purchases |
3,793 |
3,636 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
966 |
926 |
$112K |
| 92015 |
Determination of refractive state |
3,129 |
3,017 |
$95K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,026 |
1,913 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,110 |
3,033 |
$55K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,002 |
990 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,357 |
1,260 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
278 |
275 |
$20K |
| 92002 |
|
72 |
71 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
82 |
71 |
$3K |
| 3072F |
|
354 |
348 |
$0.00 |