| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,586 |
1,569 |
$65K |
| V2020 |
Frames, purchases |
1,812 |
1,729 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
948 |
901 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,098 |
1,074 |
$15K |
| 92015 |
Determination of refractive state |
1,506 |
1,493 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,379 |
1,122 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
345 |
247 |
$4K |
| 92341 |
|
104 |
98 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
31 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
28 |
28 |
$992.63 |
| V2799 |
Vision item or service, miscellaneous |
16 |
14 |
$0.00 |