| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,856 |
1,770 |
$132K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
733 |
728 |
$48K |
| V2020 |
Frames, purchases |
1,275 |
1,253 |
$34K |
| 92015 |
Determination of refractive state |
1,726 |
1,627 |
$27K |
| 92370 |
|
885 |
871 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
499 |
493 |
$12K |
| 92002 |
|
183 |
179 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
152 |
151 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
202 |
194 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
218 |
218 |
$4K |
| V2756 |
Eye glass case |
892 |
874 |
$932.04 |
| 3072F |
|
83 |
83 |
$80.00 |
| 92081 |
|
72 |
61 |
$48.89 |