| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,164 |
1,157 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,891 |
1,488 |
$22K |
| 92015 |
Determination of refractive state |
1,641 |
1,630 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
88 |
88 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,992 |
1,459 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
672 |
666 |
$0.00 |
| V2020 |
Frames, purchases |
3,036 |
1,583 |
$0.00 |