| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,500 |
1,353 |
$137K |
| 92015 |
Determination of refractive state |
1,826 |
1,669 |
$66K |
| V2020 |
Frames, purchases |
1,723 |
1,552 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,488 |
1,345 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
269 |
260 |
$31K |
| 92250 |
|
778 |
686 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,545 |
1,401 |
$22K |
| 92020 |
|
164 |
156 |
$3K |
| 92083 |
|
16 |
15 |
$761.58 |
| 83861 |
|
68 |
37 |
$121.38 |