| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
761 |
728 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
492 |
466 |
$33K |
| V2020 |
Frames, purchases |
1,009 |
927 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,072 |
978 |
$5K |
| 92015 |
Determination of refractive state |
1,432 |
1,351 |
$456.36 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
684 |
632 |
$219.24 |
| 92133 |
|
27 |
25 |
$188.46 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
72 |
67 |
$12.18 |