| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
596 |
596 |
$56K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,172 |
1,172 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
478 |
478 |
$34K |
| 92015 |
Determination of refractive state |
1,623 |
1,623 |
$29K |
| V2020 |
Frames, purchases |
1,276 |
1,276 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
461 |
461 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
259 |
259 |
$6K |