| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
546 |
457 |
$33K |
| V2020 |
Frames, purchases |
969 |
822 |
$18K |
| 92015 |
Determination of refractive state |
1,050 |
896 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
832 |
708 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
116 |
115 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
175 |
147 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
62 |
$2K |
| 3072F |
|
13 |
13 |
$0.00 |