| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,040 |
2,001 |
$179K |
| V2020 |
Frames, purchases |
1,798 |
1,690 |
$65K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,286 |
1,563 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
499 |
484 |
$51K |
| 92015 |
Determination of refractive state |
3,225 |
3,151 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
994 |
955 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
584 |
339 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
186 |
115 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
12 |
$839.80 |
| 92341 |
|
12 |
12 |
$374.88 |