| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,693 |
1,654 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
470 |
459 |
$19K |
| V2020 |
Frames, purchases |
1,116 |
1,105 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
539 |
530 |
$12K |
| 92015 |
Determination of refractive state |
2,320 |
2,261 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
413 |
404 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
162 |
162 |
$2K |