| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,163 |
2,034 |
$143K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,492 |
1,438 |
$125K |
| V2020 |
Frames, purchases |
3,806 |
3,571 |
$67K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,779 |
1,682 |
$37K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
882 |
838 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
47 |
40 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
45 |
45 |
$668.70 |