| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,526 |
1,496 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,696 |
2,494 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
517 |
509 |
$19K |
| 92015 |
Determination of refractive state |
2,266 |
2,225 |
$15K |
| 92250 |
|
37 |
27 |
$307.72 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,818 |
1,804 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,636 |
1,625 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
466 |
463 |
$0.00 |
| V2020 |
Frames, purchases |
2,218 |
2,195 |
$0.00 |