| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,727 |
2,661 |
$176K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,628 |
5,543 |
$175K |
| 92015 |
Determination of refractive state |
4,124 |
4,014 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,137 |
1,114 |
$98K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,033 |
3,510 |
$66K |
| V2020 |
Frames, purchases |
3,597 |
3,532 |
$64K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
993 |
976 |
$37K |
| 3072F |
|
1,527 |
1,507 |
$0.00 |