| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,626 |
4,586 |
$188K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,076 |
2,053 |
$86K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,479 |
3,418 |
$70K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,595 |
2,560 |
$58K |
| V2020 |
Frames, purchases |
3,389 |
3,336 |
$50K |
| 92341 |
|
1,011 |
982 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,738 |
1,715 |
$19K |
| V2025 |
Deluxe frame |
895 |
891 |
$9K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
240 |
234 |
$8K |
| 92015 |
Determination of refractive state |
246 |
234 |
$5K |