| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
591 |
585 |
$41K |
| V2020 |
Frames, purchases |
663 |
631 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
321 |
311 |
$14K |
| 92002 |
|
180 |
176 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
307 |
294 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
85 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
247 |
242 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
159 |
112 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
216 |
210 |
$1K |
| 92015 |
Determination of refractive state |
638 |
614 |
$20.22 |