| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,852 |
4,498 |
$185K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,714 |
8,201 |
$146K |
| 92341 |
|
2,671 |
2,589 |
$63K |
| V2020 |
Frames, purchases |
8,305 |
7,697 |
$53K |
| 92015 |
Determination of refractive state |
7,809 |
7,207 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,256 |
1,218 |
$31K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,007 |
2,531 |
$31K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,423 |
1,291 |
$11K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
468 |
437 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
116 |
116 |
$2K |
| V2025 |
Deluxe frame |
835 |
762 |
$180.00 |