| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
805 |
795 |
$31K |
| V2020 |
Frames, purchases |
1,109 |
1,082 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
441 |
434 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
663 |
658 |
$13K |
| 92341 |
|
246 |
226 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
172 |
165 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
192 |
191 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$298.56 |