| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
565 |
518 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
782 |
527 |
$21K |
| 92015 |
Determination of refractive state |
896 |
781 |
$20K |
| V2020 |
Frames, purchases |
941 |
876 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
958 |
906 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
180 |
158 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
539 |
317 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
46 |
29 |
$1K |