| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
835 |
802 |
$32K |
| 92015 |
Determination of refractive state |
716 |
685 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
554 |
358 |
$17K |
| V2020 |
Frames, purchases |
731 |
689 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
610 |
573 |
$10K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
51 |
36 |
$684.00 |