| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
735 |
687 |
$59K |
| V2020 |
Frames, purchases |
1,656 |
1,563 |
$44K |
| 92015 |
Determination of refractive state |
2,167 |
2,021 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,370 |
1,290 |
$43K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,301 |
2,133 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
291 |
260 |
$28K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
369 |
350 |
$24K |
| 92002 |
|
273 |
251 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65 |
62 |
$561.26 |
| 2023F |
|
356 |
327 |
$550.00 |
| 2024F |
|
429 |
382 |
$60.00 |
| 3072F |
|
43 |
35 |
$10.00 |
| 2022F |
|
18 |
17 |
$0.00 |