| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
3,119 |
2,988 |
$151K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
970 |
932 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,227 |
1,182 |
$110K |
| V2020 |
Frames, purchases |
3,006 |
2,939 |
$90K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,293 |
1,235 |
$83K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,212 |
2,184 |
$53K |
| 92015 |
Determination of refractive state |
2,313 |
2,226 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,804 |
2,746 |
$24K |
| 67311 |
|
24 |
24 |
$24K |
| 92285 |
|
905 |
861 |
$14K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
541 |
537 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
135 |
120 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
26 |
26 |
$0.00 |