| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,352 |
2,225 |
$106K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,893 |
1,802 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,473 |
1,401 |
$62K |
| 92015 |
Determination of refractive state |
2,944 |
2,817 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,557 |
1,477 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,857 |
1,750 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
57 |
57 |
$431.13 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
85 |
74 |
$288.72 |
| 92341 |
|
114 |
112 |
$0.00 |