| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,556 |
2,425 |
$243K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,150 |
876 |
$106K |
| 92015 |
Determination of refractive state |
3,601 |
3,334 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,563 |
3,330 |
$76K |
| V2020 |
Frames, purchases |
1,251 |
1,153 |
$34K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
339 |
328 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
159 |
139 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
31 |
29 |
$1K |
| 3072F |
|
568 |
541 |
$0.00 |