| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,475 |
1,437 |
$145K |
| 92015 |
Determination of refractive state |
2,108 |
2,067 |
$110K |
| V2020 |
Frames, purchases |
2,352 |
2,287 |
$80K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,449 |
1,417 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
292 |
292 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,376 |
2,307 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
538 |
536 |
$15K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
86 |
$6K |