| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
683 |
672 |
$40K |
| V2020 |
Frames, purchases |
1,369 |
1,136 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
188 |
185 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,323 |
1,089 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,181 |
946 |
$2K |
| 92015 |
Determination of refractive state |
1,260 |
1,240 |
$2K |
| 92342 |
|
87 |
86 |
$43.36 |
| V2756 |
Eye glass case |
86 |
85 |
$0.00 |
| 3072F |
|
14 |
14 |
$0.00 |
| 2022F |
|
30 |
30 |
$0.00 |