| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,713 |
1,631 |
$94K |
| V2020 |
Frames, purchases |
1,850 |
1,724 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
415 |
405 |
$25K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
290 |
275 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,759 |
1,658 |
$6K |
| 92015 |
Determination of refractive state |
2,278 |
2,181 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
433 |
404 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
857 |
807 |
$781.42 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
97 |
87 |
$12.18 |
| V2750 |
Anti-reflective coating, per lens |
12 |
12 |
$0.00 |