| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,631 |
1,595 |
$156K |
| 92015 |
Determination of refractive state |
2,790 |
2,729 |
$85K |
| V2020 |
Frames, purchases |
2,450 |
2,392 |
$81K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,386 |
2,335 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
590 |
554 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
324 |
317 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,011 |
986 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
471 |
462 |
$14K |
| 92250 |
|
108 |
106 |
$4K |