| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
797 |
786 |
$80K |
| 92015 |
Determination of refractive state |
1,365 |
1,335 |
$72K |
| V2020 |
Frames, purchases |
1,539 |
1,500 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,553 |
1,514 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
595 |
589 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
245 |
243 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
39 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
60 |
59 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
15 |
$641.16 |