| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,781 |
4,088 |
$138K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,208 |
1,784 |
$128K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,361 |
1,269 |
$121K |
| 92015 |
Determination of refractive state |
5,087 |
4,441 |
$112K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,940 |
2,498 |
$76K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,885 |
3,319 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
385 |
368 |
$41K |
| 92002 |
|
321 |
260 |
$18K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
413 |
350 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
406 |
351 |
$13K |
| 92341 |
|
368 |
309 |
$4K |