| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
693 |
693 |
$52K |
| 92015 |
Determination of refractive state |
845 |
842 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
720 |
715 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$3K |
| V2020 |
Frames, purchases |
111 |
110 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
108 |
107 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
107 |
106 |
$0.00 |