| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,965 |
1,690 |
$88K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,426 |
1,235 |
$58K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
526 |
483 |
$6K |
| V2020 |
Frames, purchases |
1,388 |
1,253 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
454 |
364 |
$4K |
| 92015 |
Determination of refractive state |
825 |
674 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$700.00 |
| V2025 |
Deluxe frame |
386 |
369 |
$316.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$0.00 |