| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,599 |
1,456 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,436 |
1,229 |
$10K |
| V2020 |
Frames, purchases |
1,640 |
1,404 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
882 |
748 |
$3K |
| 92015 |
Determination of refractive state |
1,609 |
1,470 |
$1K |
| 92250 |
|
17 |
12 |
$57.18 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
13 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
22 |
13 |
$0.00 |