| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,836 |
2,818 |
$226K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,505 |
2,483 |
$205K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,847 |
3,767 |
$141K |
| V2020 |
Frames, purchases |
3,825 |
3,777 |
$117K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,760 |
3,677 |
$74K |
| V2025 |
Deluxe frame |
850 |
847 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
459 |
459 |
$33K |
| 92015 |
Determination of refractive state |
4,551 |
4,514 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
247 |
247 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
55 |
55 |
$2K |