| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
830 |
752 |
$61K |
| V2020 |
Frames, purchases |
713 |
651 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
654 |
296 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
363 |
331 |
$27K |
| V2214 |
Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens |
334 |
137 |
$24K |
| 92015 |
Determination of refractive state |
1,878 |
1,714 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
318 |
167 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
757 |
722 |
$3K |
| V2114 |
Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens |
50 |
25 |
$3K |