| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
937 |
903 |
$89K |
| V2020 |
Frames, purchases |
2,321 |
2,003 |
$74K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,796 |
1,541 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
645 |
588 |
$42K |
| 92015 |
Determination of refractive state |
1,954 |
1,775 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,843 |
1,599 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
223 |
210 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
60 |
58 |
$3K |
| 92100 |
|
102 |
89 |
$2K |
| 92341 |
|
45 |
43 |
$575.12 |