| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
708 |
685 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
506 |
494 |
$57K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
135 |
128 |
$6K |
| V2020 |
Frames, purchases |
1,478 |
1,395 |
$5K |
| 92015 |
Determination of refractive state |
1,716 |
1,653 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,097 |
1,057 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,059 |
1,004 |
$1K |
| 92341 |
|
117 |
111 |
$757.67 |
| V2755 |
U-v lens, per lens |
12 |
12 |
$0.00 |