| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
518 |
507 |
$39K |
| V2020 |
Frames, purchases |
1,251 |
1,222 |
$36K |
| 92015 |
Determination of refractive state |
1,825 |
1,804 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
848 |
833 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
416 |
405 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
217 |
213 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
21 |
20 |
$2K |