| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
492 |
472 |
$33K |
| V2020 |
Frames, purchases |
633 |
603 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
490 |
475 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
445 |
428 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
29 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
65 |
65 |
$1K |
| 92015 |
Determination of refractive state |
583 |
550 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
39 |
38 |
$809.00 |