| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,509 |
1,476 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,148 |
1,114 |
$98K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,343 |
3,239 |
$58K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,702 |
2,630 |
$36K |
| V2020 |
Frames, purchases |
2,734 |
2,660 |
$36K |
| 92015 |
Determination of refractive state |
2,951 |
2,879 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,024 |
1,976 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
256 |
241 |
$2K |