| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,588 |
1,267 |
$130K |
| V2020 |
Frames, purchases |
4,050 |
3,312 |
$119K |
| 92015 |
Determination of refractive state |
3,295 |
2,693 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,122 |
3,363 |
$53K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,177 |
1,760 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
295 |
267 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
399 |
396 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
644 |
551 |
$16K |
| 92002 |
|
212 |
209 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
70 |
65 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
66 |
66 |
$2K |