| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,467 |
2,424 |
$151K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,173 |
1,128 |
$104K |
| V2020 |
Frames, purchases |
1,455 |
1,367 |
$50K |
| 92015 |
Determination of refractive state |
4,620 |
4,480 |
$21K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
711 |
374 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,564 |
1,558 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
38 |
$2K |