| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,867 |
1,845 |
$166K |
| V2020 |
Frames, purchases |
1,583 |
1,572 |
$114K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,598 |
1,586 |
$95K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
865 |
858 |
$51K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,547 |
1,535 |
$50K |
| 92015 |
Determination of refractive state |
2,525 |
2,492 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
279 |
277 |
$33K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
57 |
56 |
$3K |