| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,854 |
1,823 |
$177K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,831 |
1,773 |
$149K |
| V2020 |
Frames, purchases |
1,827 |
1,786 |
$126K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,055 |
1,030 |
$64K |
| 92015 |
Determination of refractive state |
2,437 |
2,406 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
227 |
221 |
$27K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
111 |
105 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
259 |
252 |
$8K |
| V2750 |
Anti-reflective coating, per lens |
20 |
20 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
13 |
13 |
$0.00 |