| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
580 |
562 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
860 |
833 |
$25K |
| 92250 |
|
287 |
275 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
306 |
301 |
$10K |
| 92015 |
Determination of refractive state |
426 |
413 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
365 |
355 |
$7K |
| V2020 |
Frames, purchases |
442 |
429 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
62 |
$5K |
| 2026F |
|
16 |
16 |
$0.00 |