| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,612 |
4,370 |
$307K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,226 |
5,909 |
$193K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,953 |
5,644 |
$176K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,026 |
1,907 |
$142K |
| V2020 |
Frames, purchases |
6,340 |
6,022 |
$79K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,135 |
3,948 |
$77K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,349 |
1,282 |
$22K |
| 92015 |
Determination of refractive state |
1,798 |
1,716 |
$12K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$156.00 |