| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,286 |
4,255 |
$454K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,351 |
8,251 |
$304K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,122 |
2,110 |
$271K |
| V2020 |
Frames, purchases |
7,662 |
7,564 |
$210K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,487 |
6,428 |
$149K |
| 92015 |
Determination of refractive state |
6,147 |
6,065 |
$43K |
| V2025 |
Deluxe frame |
128 |
128 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
56 |
56 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
50 |
$2K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
19 |
18 |
$2K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
12 |
12 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$949.00 |