| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,432 |
1,367 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
592 |
574 |
$40K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,454 |
1,387 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,130 |
2,028 |
$13K |
| 92015 |
Determination of refractive state |
2,254 |
2,157 |
$12K |
| V2020 |
Frames, purchases |
1,874 |
1,778 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
524 |
492 |
$9K |
| V2025 |
Deluxe frame |
310 |
299 |
$0.00 |