| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,036 |
994 |
$92K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
857 |
838 |
$58K |
| V2020 |
Frames, purchases |
1,463 |
1,405 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
985 |
934 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
725 |
684 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
893 |
859 |
$6K |
| 92015 |
Determination of refractive state |
1,700 |
1,670 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
44 |
44 |
$589.00 |