| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
221 |
206 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
239 |
236 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
389 |
348 |
$8K |
| 92015 |
Determination of refractive state |
370 |
336 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
258 |
255 |
$5K |
| V2020 |
Frames, purchases |
293 |
284 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
26 |
$2K |