| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,921 |
1,862 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,326 |
1,265 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,071 |
2,004 |
$85K |
| V2020 |
Frames, purchases |
1,521 |
1,474 |
$41K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
973 |
736 |
$13K |
| 92015 |
Determination of refractive state |
3,091 |
2,949 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,056 |
989 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
239 |
172 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
861 |
802 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
14 |
$662.50 |
| 92370 |
|
14 |
12 |
$321.90 |