| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
796 |
769 |
$48K |
| 92015 |
Determination of refractive state |
2,016 |
1,899 |
$43K |
| V2020 |
Frames, purchases |
1,077 |
975 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
883 |
790 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
290 |
266 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
474 |
409 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,105 |
1,011 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
128 |
108 |
$1K |