| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,461 |
2,404 |
$182K |
| V2020 |
Frames, purchases |
4,870 |
4,742 |
$149K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
7,516 |
3,679 |
$137K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,030 |
2,969 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,494 |
1,423 |
$54K |
| 92015 |
Determination of refractive state |
3,481 |
3,398 |
$38K |
| 92341 |
|
419 |
409 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
165 |
165 |
$8K |
| 92370 |
|
54 |
54 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
44 |
25 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
20 |
15 |
$328.40 |