| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,697 |
7,629 |
$408K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,086 |
1,939 |
$167K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
640 |
550 |
$34K |
| 92081 |
|
964 |
877 |
$28K |
| V2020 |
Frames, purchases |
662 |
566 |
$23K |
| V2210 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens |
252 |
214 |
$21K |
| 92015 |
Determination of refractive state |
1,165 |
1,066 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
617 |
603 |
$15K |
| V2760 |
Scratch resistant coating, per lens |
577 |
484 |
$14K |
| 92341 |
|
396 |
350 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
65 |
62 |
$3K |
| V2756 |
Eye glass case |
13 |
12 |
$0.00 |