| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,766 |
1,749 |
$72K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,677 |
1,663 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
836 |
824 |
$36K |
| V2020 |
Frames, purchases |
2,070 |
2,049 |
$34K |
| 92015 |
Determination of refractive state |
3,029 |
2,989 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,100 |
1,084 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
586 |
578 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
69 |
68 |
$3K |
| 92250 |
|
14 |
14 |
$425.75 |