| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,629 |
3,487 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,441 |
1,359 |
$78K |
| 92015 |
Determination of refractive state |
3,799 |
3,663 |
$74K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,083 |
1,982 |
$57K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,270 |
1,180 |
$22K |
| V2020 |
Frames, purchases |
2,130 |
2,016 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
134 |
114 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
509 |
494 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
271 |
264 |
$0.00 |
| V2025 |
Deluxe frame |
13 |
12 |
$0.00 |