| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,318 |
1,314 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,216 |
1,208 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,399 |
1,170 |
$46K |
| V2020 |
Frames, purchases |
1,627 |
1,592 |
$15K |
| 92250 |
|
245 |
245 |
$11K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
54 |
27 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
30 |
30 |
$452.25 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
108 |
54 |
$0.00 |