| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,512 |
2,457 |
$201K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,805 |
3,679 |
$90K |
| V2020 |
Frames, purchases |
1,510 |
1,379 |
$49K |
| 92015 |
Determination of refractive state |
3,748 |
3,664 |
$46K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,897 |
1,247 |
$26K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
617 |
354 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
70 |
68 |
$7K |
| 92341 |
|
26 |
24 |
$696.82 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
19 |
12 |
$616.00 |