| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,142 |
1,062 |
$119K |
| V2020 |
Frames, purchases |
1,153 |
1,026 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,025 |
955 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
59 |
57 |
$6K |
| 92015 |
Determination of refractive state |
1,145 |
1,052 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
396 |
383 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
77 |
$316.68 |