| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
761 |
698 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
350 |
319 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
289 |
282 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
584 |
542 |
$5K |
| 92015 |
Determination of refractive state |
340 |
313 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
330 |
283 |
$995.16 |
| 92341 |
|
32 |
25 |
$541.45 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
13 |
13 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |