| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,085 |
1,026 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
847 |
790 |
$43K |
| V2020 |
Frames, purchases |
1,357 |
1,312 |
$39K |
| 92015 |
Determination of refractive state |
1,905 |
1,786 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,002 |
975 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,355 |
822 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$871.63 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
85 |
51 |
$296.13 |
| 92341 |
|
39 |
38 |
$15.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
53 |
39 |
$0.00 |