| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,495 |
1,280 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
978 |
835 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
613 |
435 |
$12K |
| 92015 |
Determination of refractive state |
2,453 |
2,101 |
$12K |
| V2020 |
Frames, purchases |
708 |
514 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,268 |
1,234 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
382 |
255 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
126 |
66 |
$1K |