| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,115 |
2,089 |
$131K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,209 |
2,994 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
434 |
433 |
$35K |
| 92015 |
Determination of refractive state |
3,345 |
3,297 |
$29K |
| V2020 |
Frames, purchases |
88 |
88 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
90 |
90 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
39 |
39 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
39 |
38 |
$1K |