| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,057 |
1,979 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,640 |
1,551 |
$139K |
| V2020 |
Frames, purchases |
3,145 |
2,995 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,811 |
2,685 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,113 |
1,784 |
$5K |
| 92015 |
Determination of refractive state |
3,858 |
3,692 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
246 |
218 |
$758.51 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
89 |
81 |
$383.79 |