| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,666 |
5,230 |
$294K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
447 |
425 |
$10K |
| V2020 |
Frames, purchases |
442 |
421 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
77 |
74 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
179 |
177 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
80 |
78 |
$1K |
| 92015 |
Determination of refractive state |
35 |
28 |
$135.00 |