| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,265 |
1,217 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
891 |
851 |
$57K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
747 |
718 |
$22K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
158 |
151 |
$15K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
315 |
298 |
$13K |
| 92015 |
Determination of refractive state |
827 |
804 |
$13K |
| V2020 |
Frames, purchases |
807 |
775 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
179 |
169 |
$3K |
| 92250 |
|
45 |
42 |
$1K |