| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,182 |
2,155 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,054 |
1,041 |
$41K |
| V2020 |
Frames, purchases |
1,601 |
1,568 |
$21K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,290 |
1,259 |
$21K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
724 |
701 |
$7K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
188 |
188 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
42 |
42 |
$760.91 |
| 92015 |
Determination of refractive state |
1,949 |
1,921 |
$145.81 |