| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,163 |
1,140 |
$70K |
| V2020 |
Frames, purchases |
2,148 |
1,669 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
769 |
755 |
$49K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,028 |
1,576 |
$5K |
| 92015 |
Determination of refractive state |
2,038 |
1,994 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,048 |
1,591 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
19 |
12 |
$241.16 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
217 |
211 |
$20.00 |
| V2750 |
Anti-reflective coating, per lens |
149 |
144 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
14 |
13 |
$0.00 |