| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,040 |
1,034 |
$106K |
| V2020 |
Frames, purchases |
1,274 |
1,257 |
$44K |
| 92015 |
Determination of refractive state |
1,487 |
1,472 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
694 |
690 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
134 |
134 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,204 |
1,189 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
223 |
222 |
$7K |