| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,151 |
1,104 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
323 |
312 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
711 |
698 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
837 |
815 |
$10K |
| V2020 |
Frames, purchases |
1,011 |
986 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
113 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
517 |
504 |
$4K |