| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,689 |
3,609 |
$132K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,576 |
2,514 |
$99K |
| V2020 |
Frames, purchases |
4,407 |
4,311 |
$70K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,228 |
2,183 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,451 |
1,414 |
$30K |
| 92341 |
|
1,267 |
1,215 |
$27K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
702 |
685 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,017 |
1,971 |
$19K |
| 92015 |
Determination of refractive state |
5,419 |
5,284 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
76 |
74 |
$2K |
| 92310 |
|
24 |
24 |
$920.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
55 |
54 |
$781.52 |
| 3072F |
|
655 |
648 |
$730.00 |
| 2022F |
|
25 |
25 |
$0.00 |