| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
746 |
558 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
207 |
199 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,026 |
711 |
$5K |
| V2020 |
Frames, purchases |
963 |
693 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
134 |
133 |
$533.98 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
33 |
31 |
$141.54 |
| 92015 |
Determination of refractive state |
1,168 |
916 |
$96.45 |