| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
649 |
635 |
$27K |
| 92015 |
Determination of refractive state |
814 |
793 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
466 |
441 |
$13K |
| V2020 |
Frames, purchases |
376 |
352 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
137 |
136 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
279 |
267 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
155 |
144 |
$2K |