| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,614 |
1,578 |
$205K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,126 |
1,093 |
$145K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,584 |
1,535 |
$13K |
| V2020 |
Frames, purchases |
1,724 |
1,686 |
$12K |
| 92015 |
Determination of refractive state |
2,923 |
2,848 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,549 |
1,502 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,533 |
1,480 |
$518.48 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
1,587 |
1,533 |
$183.16 |
| V2755 |
U-v lens, per lens |
1,585 |
1,531 |
$108.00 |
| V2025 |
Deluxe frame |
18 |
17 |
$0.00 |