| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,102 |
1,068 |
$85K |
| 92015 |
Determination of refractive state |
2,527 |
2,456 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,093 |
1,038 |
$22K |
| V2020 |
Frames, purchases |
858 |
804 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
150 |
148 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,471 |
763 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
222 |
139 |
$5K |