| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,443 |
5,955 |
$192K |
| 92341 |
|
5,304 |
5,046 |
$92K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,301 |
4,980 |
$66K |
| 92015 |
Determination of refractive state |
6,399 |
5,849 |
$32K |
| V2020 |
Frames, purchases |
2,858 |
2,513 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
58 |
$3K |
| V2025 |
Deluxe frame |
2,168 |
1,898 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
77 |
74 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,765 |
1,551 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
755 |
640 |
$234.00 |