| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
971 |
767 |
$63K |
| V2020 |
Frames, purchases |
1,506 |
1,160 |
$29K |
| 92015 |
Determination of refractive state |
1,674 |
1,338 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,435 |
1,107 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
975 |
720 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
788 |
567 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
179 |
126 |
$10K |
| 92250 |
|
370 |
269 |
$9K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
51 |
37 |
$3K |