| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,140 |
2,115 |
$163K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
815 |
801 |
$84K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,731 |
1,677 |
$63K |
| V2020 |
Frames, purchases |
2,176 |
2,107 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,964 |
1,905 |
$43K |
| 92015 |
Determination of refractive state |
3,446 |
3,404 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,192 |
2,130 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$1K |
| 92133 |
|
12 |
12 |
$279.81 |