| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,007 |
869 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
652 |
603 |
$49K |
| 92015 |
Determination of refractive state |
2,305 |
2,074 |
$46K |
| V2020 |
Frames, purchases |
1,332 |
1,275 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,049 |
929 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,310 |
1,255 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
259 |
244 |
$4K |
| 92341 |
|
55 |
39 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
27 |
25 |
$222.10 |