| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
362 |
349 |
$15K |
| 92015 |
Determination of refractive state |
1,051 |
1,012 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
295 |
281 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
78 |
76 |
$3K |
| V2020 |
Frames, purchases |
235 |
223 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
84 |
81 |
$198.50 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$0.00 |