| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,107 |
1,027 |
$62K |
| V2020 |
Frames, purchases |
2,007 |
1,526 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
702 |
641 |
$40K |
| 92015 |
Determination of refractive state |
1,947 |
1,792 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,896 |
1,441 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,919 |
1,462 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
190 |
162 |
$20.00 |
| V2750 |
Anti-reflective coating, per lens |
126 |
103 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |