| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,206 |
1,170 |
$94K |
| 92015 |
Determination of refractive state |
2,336 |
2,281 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
750 |
729 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
624 |
307 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
135 |
135 |
$13K |
| V2020 |
Frames, purchases |
340 |
332 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
278 |
135 |
$7K |