| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,641 |
1,623 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
861 |
858 |
$40K |
| 92015 |
Determination of refractive state |
2,320 |
2,300 |
$36K |
| V2020 |
Frames, purchases |
1,296 |
1,254 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
848 |
842 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,157 |
1,129 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,014 |
979 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
306 |
305 |
$3K |
| 92341 |
|
34 |
12 |
$1K |