| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,394 |
1,379 |
$115K |
| V2020 |
Frames, purchases |
1,152 |
1,137 |
$37K |
| 92015 |
Determination of refractive state |
1,901 |
1,874 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,194 |
589 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
808 |
794 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
134 |
130 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,039 |
1,007 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
28 |
14 |
$676.16 |
| 92341 |
|
13 |
13 |
$397.80 |