| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,191 |
1,187 |
$67K |
| V2020 |
Frames, purchases |
2,205 |
2,182 |
$59K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
738 |
736 |
$36K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,093 |
2,049 |
$21K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
357 |
357 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
886 |
882 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
285 |
285 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$275.30 |