| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,333 |
1,282 |
$66K |
| V2020 |
Frames, purchases |
590 |
515 |
$35K |
| 92015 |
Determination of refractive state |
1,535 |
1,484 |
$16K |
| 92250 |
|
300 |
286 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
181 |
157 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
335 |
312 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$3K |
| 92134 |
|
79 |
54 |
$2K |
| 92133 |
|
62 |
39 |
$2K |
| V2756 |
Eye glass case |
794 |
735 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
43 |
41 |
$54.66 |
| 99072 |
|
56 |
52 |
$0.00 |