| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
838 |
764 |
$73K |
| V2020 |
Frames, purchases |
1,767 |
1,618 |
$56K |
| 92015 |
Determination of refractive state |
1,827 |
1,672 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
536 |
510 |
$36K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,042 |
956 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,573 |
1,438 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
73 |
61 |
$2K |