| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
696 |
678 |
$54K |
| V2020 |
Frames, purchases |
1,574 |
1,494 |
$41K |
| 92250 |
|
1,693 |
1,615 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
416 |
375 |
$35K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,449 |
1,379 |
$28K |
| 92015 |
Determination of refractive state |
1,751 |
1,659 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
818 |
782 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
421 |
397 |
$13K |
| 92370 |
|
77 |
75 |
$1K |
| 92341 |
|
14 |
13 |
$373.75 |