| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,502 |
2,339 |
$172K |
| V2020 |
Frames, purchases |
3,943 |
3,653 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
619 |
585 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,466 |
1,368 |
$36K |
| 92015 |
Determination of refractive state |
3,997 |
3,778 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,523 |
3,307 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
286 |
246 |
$6K |