| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,958 |
1,737 |
$177K |
| 92015 |
Determination of refractive state |
2,508 |
2,176 |
$75K |
| V2020 |
Frames, purchases |
2,315 |
2,011 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,839 |
1,625 |
$32K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
726 |
628 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
316 |
303 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
35 |
20 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
14 |
$609.18 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$602.88 |
| 92341 |
|
30 |
29 |
$399.04 |