| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,301 |
1,248 |
$82K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
743 |
698 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,429 |
2,305 |
$40K |
| 92015 |
Determination of refractive state |
2,582 |
2,441 |
$21K |
| V2020 |
Frames, purchases |
2,752 |
2,606 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,812 |
2,314 |
$6K |
| 92341 |
|
12 |
12 |
$216.00 |
| V2201 |
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
23 |
12 |
$0.00 |