| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,596 |
1,433 |
$116K |
| 92015 |
Determination of refractive state |
1,843 |
1,582 |
$47K |
| V2020 |
Frames, purchases |
1,408 |
1,173 |
$35K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
233 |
209 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
659 |
519 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
950 |
814 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
440 |
335 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
40 |
$1K |