| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,827 |
1,726 |
$120K |
| 92015 |
Determination of refractive state |
2,279 |
2,164 |
$98K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,221 |
2,126 |
$65K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
916 |
894 |
$42K |
| 92250 |
|
648 |
645 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
254 |
247 |
$23K |
| V2020 |
Frames, purchases |
987 |
953 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
793 |
778 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$187.46 |