| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
994 |
965 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
584 |
566 |
$32K |
| V2020 |
Frames, purchases |
1,654 |
1,592 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,278 |
1,234 |
$12K |
| 92015 |
Determination of refractive state |
1,240 |
1,209 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
970 |
950 |
$3K |
| 92341 |
|
14 |
14 |
$210.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
25 |
$0.00 |