| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,442 |
2,328 |
$147K |
| V2020 |
Frames, purchases |
3,281 |
2,998 |
$100K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,279 |
1,216 |
$97K |
| 92015 |
Determination of refractive state |
3,899 |
3,712 |
$84K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,693 |
2,433 |
$69K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,817 |
1,652 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
566 |
516 |
$5K |
| 92341 |
|
124 |
124 |
$4K |
| 00000 |
|
80 |
23 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
364 |
314 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
80 |
$2K |
| V2756 |
Eye glass case |
989 |
955 |
$514.28 |
| V2760 |
Scratch resistant coating, per lens |
1,637 |
1,525 |
$0.00 |