| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,555 |
2,555 |
$276K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,091 |
1,091 |
$141K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,646 |
3,635 |
$110K |
| 92015 |
Determination of refractive state |
4,291 |
4,291 |
$76K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,042 |
2,031 |
$53K |
| V2020 |
Frames, purchases |
3,357 |
3,348 |
$34K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
353 |
349 |
$9K |
| 99072 |
|
31 |
31 |
$0.00 |