| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
240 |
216 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
717 |
678 |
$12K |
| V2020 |
Frames, purchases |
684 |
649 |
$8K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
539 |
509 |
$8K |
| 92015 |
Determination of refractive state |
688 |
653 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
399 |
375 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$2K |