| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
773 |
733 |
$22K |
| V2020 |
Frames, purchases |
1,252 |
828 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
293 |
281 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,253 |
834 |
$5K |
| 92015 |
Determination of refractive state |
1,184 |
1,112 |
$452.06 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
39 |
36 |
$416.20 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
963 |
564 |
$62.36 |
| 92341 |
|
14 |
12 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
114 |
100 |
$0.00 |
| G8398 |
Dilated macular or fundus exam not performed |
13 |
13 |
$0.00 |