| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,253 |
1,100 |
$107K |
| 92015 |
Determination of refractive state |
2,489 |
2,197 |
$67K |
| V2020 |
Frames, purchases |
1,735 |
1,559 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,616 |
1,454 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
742 |
704 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
140 |
129 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
412 |
359 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
70 |
60 |
$4K |
| 92250 |
|
13 |
12 |
$366.80 |