| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
572 |
447 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,371 |
1,136 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
298 |
245 |
$25K |
| 92015 |
Determination of refractive state |
1,950 |
1,610 |
$25K |
| V2020 |
Frames, purchases |
1,375 |
1,130 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
622 |
461 |
$7K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
14 |
14 |
$1K |