| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
835 |
795 |
$79K |
| V2020 |
Frames, purchases |
1,080 |
1,008 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
249 |
239 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
676 |
640 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
996 |
930 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,031 |
960 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
55 |
52 |
$2K |
| 92015 |
Determination of refractive state |
1,044 |
996 |
$617.85 |