| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,058 |
986 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
269 |
263 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
753 |
682 |
$19K |
| V2020 |
Frames, purchases |
727 |
684 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
229 |
217 |
$5K |
| 92015 |
Determination of refractive state |
772 |
723 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
203 |
192 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
13 |
$226.40 |