| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,083 |
1,880 |
$101K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,399 |
1,205 |
$70K |
| V2020 |
Frames, purchases |
1,495 |
1,349 |
$24K |
| 92015 |
Determination of refractive state |
3,436 |
3,023 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,492 |
1,346 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,442 |
1,300 |
$18K |
| 92283 |
|
794 |
707 |
$15K |
| V2499 |
Variable sphericity lens, other type |
118 |
114 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
223 |
201 |
$2K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$240.00 |