| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
695 |
670 |
$53K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
573 |
536 |
$34K |
| V2020 |
Frames, purchases |
967 |
909 |
$33K |
| 92015 |
Determination of refractive state |
1,669 |
1,620 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
525 |
500 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
91 |
86 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$1K |