| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,481 |
1,395 |
$82K |
| 92015 |
Determination of refractive state |
2,121 |
2,007 |
$67K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
797 |
717 |
$61K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,390 |
1,314 |
$35K |
| V2020 |
Frames, purchases |
1,470 |
1,377 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
338 |
331 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
407 |
395 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
78 |
$1K |
| 92250 |
|
18 |
13 |
$320.93 |