| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
973 |
970 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
309 |
309 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
750 |
745 |
$18K |
| V2020 |
Frames, purchases |
574 |
573 |
$11K |
| 92015 |
Determination of refractive state |
1,638 |
1,630 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
214 |
214 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
15 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
94 |
93 |
$1K |