| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,167 |
3,034 |
$208K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,582 |
2,492 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
718 |
694 |
$64K |
| 92015 |
Determination of refractive state |
441 |
436 |
$9K |
| V2020 |
Frames, purchases |
255 |
167 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
184 |
110 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
27 |
$723.80 |