| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,461 |
1,432 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
891 |
875 |
$65K |
| V2020 |
Frames, purchases |
606 |
588 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
571 |
562 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
625 |
608 |
$7K |
| 92015 |
Determination of refractive state |
3,116 |
3,046 |
$3K |
| 92134 |
|
100 |
100 |
$245.37 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
29 |
27 |
$91.91 |