| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,387 |
3,293 |
$468K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
991 |
981 |
$176K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,707 |
4,597 |
$30K |
| V2020 |
Frames, purchases |
4,691 |
4,551 |
$30K |
| 92015 |
Determination of refractive state |
4,568 |
4,462 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,697 |
4,549 |
$9K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
40 |
27 |
$8.00 |
| V2025 |
Deluxe frame |
29 |
29 |
$0.00 |