| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,447 |
3,253 |
$268K |
| V2020 |
Frames, purchases |
3,380 |
3,184 |
$109K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,761 |
2,633 |
$95K |
| 92015 |
Determination of refractive state |
4,658 |
4,403 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,064 |
1,960 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
519 |
468 |
$43K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
722 |
385 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
463 |
293 |
$14K |
| 92370 |
|
102 |
96 |
$2K |
| 92250 |
|
98 |
83 |
$2K |
| 92341 |
|
86 |
82 |
$703.39 |
| 92342 |
|
20 |
14 |
$439.78 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$0.00 |