| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,888 |
3,507 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,170 |
1,994 |
$227K |
| V2020 |
Frames, purchases |
4,333 |
3,938 |
$184K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,441 |
1,489 |
$78K |
| 92015 |
Determination of refractive state |
6,098 |
5,564 |
$73K |
| 92250 |
|
4,401 |
3,893 |
$66K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,465 |
1,086 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,002 |
709 |
$29K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
244 |
134 |
$12K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
65 |
38 |
$3K |