| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,960 |
5,661 |
$476K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,314 |
6,846 |
$392K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,282 |
3,140 |
$312K |
| V2020 |
Frames, purchases |
6,094 |
5,939 |
$129K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,371 |
5,041 |
$99K |
| 92015 |
Determination of refractive state |
11,092 |
10,569 |
$81K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,663 |
3,538 |
$62K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,127 |
1,070 |
$17K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
96 |
95 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
39 |
38 |
$688.71 |