| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
877 |
624 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
613 |
500 |
$71K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
670 |
638 |
$54K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,155 |
1,087 |
$33K |
| V2020 |
Frames, purchases |
1,357 |
1,294 |
$11K |
| 92250 |
|
1,342 |
1,124 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,151 |
1,100 |
$6K |
| 92015 |
Determination of refractive state |
1,407 |
1,164 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
819 |
770 |
$2K |
| 92225 |
|
58 |
25 |
$106.54 |
| 92201 |
|
69 |
68 |
$16.07 |