| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
818 |
721 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
175 |
147 |
$13K |
| V2020 |
Frames, purchases |
661 |
539 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
238 |
184 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
115 |
112 |
$3K |
| 92015 |
Determination of refractive state |
528 |
495 |
$570.55 |
| 92341 |
|
12 |
12 |
$353.52 |