| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
706 |
665 |
$59K |
| 92250 |
|
733 |
699 |
$30K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
310 |
302 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,156 |
1,088 |
$19K |
| V2020 |
Frames, purchases |
1,400 |
1,318 |
$14K |
| 92015 |
Determination of refractive state |
1,578 |
1,489 |
$13K |
| V2750 |
Anti-reflective coating, per lens |
269 |
240 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
673 |
626 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
880 |
825 |
$8K |
| V2025 |
Deluxe frame |
999 |
943 |
$0.00 |