| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
723 |
715 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
780 |
772 |
$17K |
| V2020 |
Frames, purchases |
972 |
963 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
384 |
383 |
$15K |
| 92250 |
|
113 |
113 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
235 |
227 |
$3K |
| 92015 |
Determination of refractive state |
1,511 |
1,496 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
71 |
71 |
$2K |
| 92310 |
|
12 |
12 |
$864.00 |