| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
193 |
193 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
484 |
479 |
$15K |
| 92015 |
Determination of refractive state |
418 |
418 |
$7K |
| V2020 |
Frames, purchases |
285 |
283 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$725.40 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
284 |
281 |
$0.00 |