| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
874 |
858 |
$75K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
489 |
456 |
$35K |
| V2020 |
Frames, purchases |
697 |
633 |
$34K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
508 |
490 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
263 |
257 |
$28K |
| 92015 |
Determination of refractive state |
1,669 |
1,640 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
861 |
840 |
$21K |
| 92250 |
|
38 |
38 |
$895.95 |