| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
215 |
207 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
150 |
140 |
$11K |
| V2020 |
Frames, purchases |
191 |
175 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
253 |
234 |
$4K |
| 92015 |
Determination of refractive state |
358 |
340 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
182 |
83 |
$1.62 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
34 |
17 |
$0.34 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
26 |
13 |
$0.26 |