| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
308 |
308 |
$29K |
| 92015 |
Determination of refractive state |
429 |
428 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
259 |
254 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
197 |
195 |
$6K |
| V2020 |
Frames, purchases |
284 |
280 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
271 |
269 |
$0.00 |