| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,641 |
2,599 |
$171K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,806 |
1,763 |
$147K |
| V2020 |
Frames, purchases |
1,966 |
1,899 |
$74K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,704 |
1,060 |
$49K |
| 92015 |
Determination of refractive state |
4,990 |
4,876 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
671 |
450 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,275 |
1,268 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
39 |
$2K |