| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,961 |
1,947 |
$122K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,312 |
1,307 |
$96K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,330 |
4,303 |
$82K |
| 92015 |
Determination of refractive state |
3,536 |
3,509 |
$37K |
| V2020 |
Frames, purchases |
1,153 |
1,148 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
690 |
688 |
$10K |
| V2760 |
Scratch resistant coating, per lens |
684 |
682 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,148 |
1,143 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
183 |
182 |
$3K |