| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,218 |
6,185 |
$122K |
| V2020 |
Frames, purchases |
7,974 |
7,940 |
$88K |
| 92250 |
|
2,063 |
2,031 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,175 |
7,136 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,921 |
3,908 |
$73K |
| 92015 |
Determination of refractive state |
9,998 |
9,951 |
$39K |
| 92341 |
|
510 |
510 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
118 |
111 |
$942.88 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
29 |
$663.32 |