| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,135 |
1,017 |
$61K |
| 92015 |
Determination of refractive state |
1,844 |
1,612 |
$35K |
| V2020 |
Frames, purchases |
1,070 |
938 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
176 |
151 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
437 |
374 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,345 |
1,173 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
360 |
296 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19 |
12 |
$158.30 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
37 |
27 |
$97.03 |