| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,072 |
2,037 |
$204K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,905 |
1,873 |
$161K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,403 |
3,339 |
$123K |
| V2020 |
Frames, purchases |
3,440 |
3,377 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,793 |
1,782 |
$21K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
303 |
283 |
$15K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
424 |
420 |
$7K |
| 92015 |
Determination of refractive state |
446 |
419 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
26 |
26 |
$325.12 |