| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
744 |
716 |
$61K |
| V2020 |
Frames, purchases |
1,602 |
1,436 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,901 |
1,782 |
$43K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,028 |
946 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
334 |
322 |
$33K |
| 92250 |
|
1,262 |
1,222 |
$31K |
| 92015 |
Determination of refractive state |
1,611 |
1,539 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
451 |
252 |
$11K |
| 92341 |
|
353 |
338 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
160 |
115 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
12 |
$543.87 |
| 92342 |
|
16 |
15 |
$468.27 |