| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
451 |
419 |
$26K |
| 92015 |
Determination of refractive state |
1,158 |
1,044 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
320 |
299 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
70 |
$5K |
| V2020 |
Frames, purchases |
187 |
178 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
213 |
204 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
25 |
$476.55 |