| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,222 |
1,191 |
$91K |
| V2020 |
Frames, purchases |
1,874 |
1,801 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,620 |
1,570 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,852 |
1,784 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
835 |
812 |
$25K |
| 92015 |
Determination of refractive state |
2,076 |
2,027 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
197 |
195 |
$19K |
| 92341 |
|
24 |
24 |
$689.70 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$342.89 |