| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,340 |
1,305 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,187 |
2,125 |
$41K |
| V2020 |
Frames, purchases |
2,971 |
2,901 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
781 |
748 |
$24K |
| 92310 |
|
331 |
317 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,541 |
1,503 |
$14K |
| 92015 |
Determination of refractive state |
2,694 |
2,612 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
178 |
176 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
112 |
112 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$0.00 |