| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,699 |
2,442 |
$258K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
667 |
628 |
$76K |
| V2020 |
Frames, purchases |
1,052 |
1,005 |
$42K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,012 |
966 |
$22K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
97 |
91 |
$20K |
| 92285 |
|
949 |
841 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
605 |
588 |
$11K |
| V2750 |
Anti-reflective coating, per lens |
154 |
147 |
$5K |
| 92060 |
|
64 |
62 |
$3K |
| 92015 |
Determination of refractive state |
2,567 |
2,422 |
$2K |
| 92250 |
|
16 |
14 |
$660.95 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
12 |
$410.59 |
| V2799 |
Vision item or service, miscellaneous |
230 |
227 |
$0.00 |