| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
484 |
472 |
$34K |
| V2020 |
Frames, purchases |
797 |
767 |
$21K |
| 92015 |
Determination of refractive state |
1,091 |
1,062 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
296 |
287 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
287 |
267 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
191 |
137 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$3K |
| V2025 |
Deluxe frame |
16 |
15 |
$33.84 |