| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,421 |
2,286 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,374 |
1,309 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,650 |
3,430 |
$61K |
| 92015 |
Determination of refractive state |
4,062 |
3,845 |
$34K |
| V2750 |
Anti-reflective coating, per lens |
384 |
348 |
$29K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
674 |
613 |
$15K |
| V2020 |
Frames, purchases |
1,180 |
1,091 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
783 |
723 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,189 |
1,099 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
320 |
305 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
80 |
67 |
$815.79 |
| V2760 |
Scratch resistant coating, per lens |
714 |
654 |
$0.00 |