| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,404 |
2,344 |
$143K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,175 |
1,141 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,283 |
4,161 |
$74K |
| 92015 |
Determination of refractive state |
5,000 |
4,818 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,647 |
2,501 |
$36K |
| V2020 |
Frames, purchases |
2,770 |
2,699 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,258 |
2,197 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
406 |
262 |
$2.35 |