| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,891 |
2,838 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,751 |
1,731 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
664 |
658 |
$30K |
| V2020 |
Frames, purchases |
770 |
759 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
595 |
589 |
$13K |
| 92341 |
|
276 |
274 |
$7K |
| 92015 |
Determination of refractive state |
977 |
966 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
424 |
420 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
40 |
40 |
$1K |
| 3072F |
|
630 |
629 |
$0.00 |