| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,214 |
1,188 |
$75K |
| V2020 |
Frames, purchases |
2,157 |
1,875 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
535 |
522 |
$34K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
170 |
151 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,789 |
1,545 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,838 |
1,592 |
$5K |
| 92015 |
Determination of refractive state |
1,819 |
1,777 |
$5K |
| 92341 |
|
27 |
26 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
17 |
16 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
25 |
25 |
$0.00 |