| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
750 |
723 |
$59K |
| V2020 |
Frames, purchases |
1,127 |
1,078 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
233 |
229 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
389 |
368 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
817 |
783 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
435 |
408 |
$12K |
| 92002 |
|
44 |
41 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
49 |
25 |
$1K |
| 92341 |
|
25 |
25 |
$330.24 |
| 92133 |
|
12 |
12 |
$273.90 |
| 76514 |
|
12 |
12 |
$95.84 |