| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,332 |
1,263 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
707 |
669 |
$63K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,009 |
955 |
$30K |
| V2020 |
Frames, purchases |
1,218 |
1,109 |
$27K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
558 |
514 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,107 |
968 |
$10K |
| 92015 |
Determination of refractive state |
2,291 |
2,180 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
73 |
68 |
$1K |