| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,459 |
1,412 |
$121K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,635 |
1,526 |
$55K |
| V2020 |
Frames, purchases |
1,825 |
1,709 |
$55K |
| 92015 |
Determination of refractive state |
3,086 |
2,906 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,840 |
1,712 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
332 |
326 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
635 |
622 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
247 |
190 |
$7K |