| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,392 |
1,283 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
615 |
559 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,133 |
999 |
$33K |
| V2020 |
Frames, purchases |
1,721 |
1,543 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,902 |
1,685 |
$13K |
| 92015 |
Determination of refractive state |
2,193 |
2,019 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
362 |
310 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
240 |
189 |
$6K |
| V2025 |
Deluxe frame |
326 |
296 |
$0.00 |