| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,077 |
5,983 |
$486K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,843 |
1,815 |
$197K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,553 |
1,523 |
$134K |
| V2020 |
Frames, purchases |
1,945 |
1,896 |
$78K |
| 92250 |
|
1,826 |
1,813 |
$68K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
906 |
882 |
$43K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,272 |
1,241 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,639 |
1,598 |
$29K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$769.34 |