| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,469 |
2,379 |
$238K |
| 92015 |
Determination of refractive state |
4,279 |
4,136 |
$160K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,332 |
1,291 |
$156K |
| V2020 |
Frames, purchases |
3,776 |
3,678 |
$126K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,111 |
2,051 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,235 |
3,164 |
$47K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
177 |
173 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
225 |
217 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
63 |
55 |
$4K |
| 92341 |
|
248 |
243 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
54 |
52 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,584 |
2,490 |
$0.00 |