| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,562 |
1,510 |
$141K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
716 |
696 |
$77K |
| V2020 |
Frames, purchases |
1,853 |
1,792 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,336 |
1,295 |
$52K |
| 92015 |
Determination of refractive state |
2,367 |
2,296 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,037 |
1,980 |
$34K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,062 |
1,027 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
155 |
153 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
43 |
40 |
$2K |
| 3072F |
|
162 |
155 |
$20.00 |