| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,549 |
1,489 |
$129K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
555 |
544 |
$41K |
| 92015 |
Determination of refractive state |
1,996 |
1,818 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
342 |
341 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
828 |
809 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
471 |
463 |
$14K |
| 92341 |
|
16 |
14 |
$525.30 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
13 |
$127.60 |