| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,796 |
1,783 |
$76K |
| V2020 |
Frames, purchases |
2,026 |
2,015 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,643 |
1,626 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,802 |
2,788 |
$68K |
| 92015 |
Determination of refractive state |
3,473 |
3,443 |
$48K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,909 |
1,898 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
642 |
641 |
$8K |
| V2025 |
Deluxe frame |
106 |
100 |
$4K |
| 92341 |
|
51 |
39 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
24 |
24 |
$587.61 |