| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,238 |
9,069 |
$302K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,805 |
10,562 |
$189K |
| 92015 |
Determination of refractive state |
7,347 |
7,216 |
$94K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,546 |
5,445 |
$76K |
| V2020 |
Frames, purchases |
7,573 |
7,400 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,489 |
1,457 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,794 |
4,678 |
$19K |
| 92250 |
|
362 |
352 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
59 |
59 |
$2K |
| 92341 |
|
64 |
64 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$225.00 |
| 2022F |
|
115 |
112 |
$0.00 |
| 3072F |
|
13 |
12 |
$0.00 |