| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,995 |
1,917 |
$83K |
| 92015 |
Determination of refractive state |
3,165 |
3,037 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,092 |
1,050 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
831 |
776 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
846 |
797 |
$13K |
| V2025 |
Deluxe frame |
198 |
182 |
$7K |
| V2020 |
Frames, purchases |
698 |
667 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
578 |
534 |
$3K |
| 92341 |
|
17 |
16 |
$498.46 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17 |
16 |
$314.00 |