| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
480 |
441 |
$39K |
| 92015 |
Determination of refractive state |
1,443 |
1,348 |
$21K |
| V2020 |
Frames, purchases |
641 |
584 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
262 |
249 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
869 |
792 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
169 |
168 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
109 |
108 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 2025F |
|
439 |
427 |
$0.00 |