| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
540 |
532 |
$44K |
| 92015 |
Determination of refractive state |
1,587 |
1,557 |
$19K |
| V2020 |
Frames, purchases |
433 |
419 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
700 |
342 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
321 |
311 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
51 |
50 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
114 |
67 |
$3K |