| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,161 |
2,003 |
$87K |
| 92015 |
Determination of refractive state |
3,187 |
2,960 |
$55K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,820 |
1,691 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
618 |
575 |
$28K |
| V2020 |
Frames, purchases |
871 |
832 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
310 |
295 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
148 |
139 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
114 |
106 |
$2K |
| 92370 |
|
12 |
12 |
$55.84 |