| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
996 |
944 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
241 |
229 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
517 |
492 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
406 |
395 |
$10K |
| V2020 |
Frames, purchases |
554 |
532 |
$7K |
| 92015 |
Determination of refractive state |
324 |
308 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
166 |
166 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
32 |
28 |
$477.75 |