| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,464 |
1,344 |
$105K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
820 |
741 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
612 |
596 |
$63K |
| 92015 |
Determination of refractive state |
1,636 |
1,530 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,594 |
872 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,347 |
1,225 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
27 |
$75.00 |
| 92250 |
|
12 |
12 |
$35.58 |