| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,215 |
1,191 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,562 |
1,528 |
$24K |
| 92015 |
Determination of refractive state |
1,889 |
1,858 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
132 |
129 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
320 |
277 |
$5K |
| V2020 |
Frames, purchases |
1,867 |
1,782 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,624 |
1,541 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
746 |
743 |
$0.00 |
| 2023F |
|
34 |
34 |
$0.00 |