| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
681 |
669 |
$54K |
| 92015 |
Determination of refractive state |
1,523 |
1,482 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
521 |
252 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
105 |
105 |
$10K |
| V2020 |
Frames, purchases |
275 |
263 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
253 |
117 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
316 |
306 |
$7K |
| 92250 |
|
207 |
200 |
$3K |