| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
467 |
445 |
$46K |
| 92015 |
Determination of refractive state |
1,032 |
939 |
$30K |
| V2020 |
Frames, purchases |
849 |
761 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
668 |
608 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
278 |
255 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
32 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$389.80 |
| 92341 |
|
23 |
12 |
$165.12 |