| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
975 |
936 |
$94K |
| V2020 |
Frames, purchases |
2,001 |
1,940 |
$68K |
| 92015 |
Determination of refractive state |
2,042 |
1,956 |
$66K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,504 |
1,587 |
$59K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
395 |
393 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,273 |
1,250 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
111 |
111 |
$14K |
| 92002 |
|
12 |
12 |
$830.04 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
14 |
$668.08 |
| 92341 |
|
16 |
16 |
$220.16 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,232 |
1,194 |
$7.00 |