| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
825 |
825 |
$88K |
| 92015 |
Determination of refractive state |
1,226 |
1,226 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
676 |
674 |
$21K |
| V2020 |
Frames, purchases |
682 |
680 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
208 |
207 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
268 |
267 |
$0.00 |