| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,806 |
1,762 |
$88K |
| V2020 |
Frames, purchases |
1,986 |
1,950 |
$62K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,088 |
1,069 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,446 |
1,437 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
330 |
320 |
$16K |
| 92015 |
Determination of refractive state |
828 |
807 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
587 |
580 |
$5K |
| V2025 |
Deluxe frame |
56 |
56 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
319 |
317 |
$1K |
| 92083 |
|
15 |
15 |
$770.00 |