| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,670 |
1,612 |
$131K |
| V2020 |
Frames, purchases |
2,268 |
2,229 |
$64K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,634 |
1,609 |
$57K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,623 |
2,427 |
$47K |
| 92015 |
Determination of refractive state |
2,543 |
2,499 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
320 |
319 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
320 |
309 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
116 |
114 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
38 |
38 |
$0.00 |