| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,248 |
1,163 |
$95K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
888 |
853 |
$67K |
| V2020 |
Frames, purchases |
3,754 |
3,363 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,555 |
3,276 |
$20K |
| 92015 |
Determination of refractive state |
2,425 |
2,301 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,875 |
2,594 |
$4K |
| 2020F |
|
857 |
802 |
$1K |
| 92341 |
|
28 |
24 |
$15.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
228 |
217 |
$15.00 |
| V2025 |
Deluxe frame |
229 |
213 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17 |
12 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
585 |
521 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
202 |
179 |
$0.00 |