| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,045 |
1,027 |
$63K |
| V2020 |
Frames, purchases |
1,756 |
1,494 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
529 |
520 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,702 |
1,430 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,686 |
1,415 |
$4K |
| 92015 |
Determination of refractive state |
1,866 |
1,835 |
$4K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$261.76 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
13 |
13 |
$0.00 |