| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,297 |
1,259 |
$113K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,767 |
2,682 |
$73K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
615 |
602 |
$67K |
| V2020 |
Frames, purchases |
2,346 |
2,267 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
968 |
953 |
$25K |
| 92015 |
Determination of refractive state |
2,398 |
2,333 |
$14K |
| V2025 |
Deluxe frame |
218 |
218 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
290 |
283 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
58 |
58 |
$4K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
14 |
14 |
$206.92 |