| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,710 |
1,635 |
$66K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
741 |
712 |
$15K |
| V2020 |
Frames, purchases |
356 |
356 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
199 |
199 |
$5K |
| 92100 |
|
234 |
227 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
96 |
91 |
$4K |
| 92015 |
Determination of refractive state |
781 |
765 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
81 |
81 |
$949.00 |
| 92341 |
|
17 |
16 |
$407.97 |