| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,838 |
1,738 |
$133K |
| V2020 |
Frames, purchases |
1,274 |
1,186 |
$35K |
| 92015 |
Determination of refractive state |
2,568 |
2,445 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
764 |
723 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
502 |
488 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
765 |
712 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
73 |
71 |
$4K |
| 92240 |
|
20 |
20 |
$641.34 |
| 92370 |
|
28 |
28 |
$206.83 |