| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
786 |
786 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
340 |
340 |
$44K |
| 92015 |
Determination of refractive state |
1,795 |
1,795 |
$32K |
| 92250 |
|
598 |
598 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
773 |
771 |
$23K |
| V2020 |
Frames, purchases |
1,417 |
1,409 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
470 |
470 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
392 |
387 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,396 |
1,386 |
$0.00 |