| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,324 |
1,314 |
$102K |
| V2020 |
Frames, purchases |
2,892 |
2,859 |
$89K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,268 |
1,256 |
$78K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,246 |
2,220 |
$45K |
| 92015 |
Determination of refractive state |
2,960 |
2,927 |
$33K |
| 92341 |
|
756 |
753 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,035 |
1,002 |
$11K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
80 |
80 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
263 |
252 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
36 |
$475.44 |