| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
636 |
530 |
$44K |
| 92015 |
Determination of refractive state |
1,968 |
1,656 |
$19K |
| V2020 |
Frames, purchases |
686 |
584 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
458 |
393 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
570 |
498 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
181 |
164 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
30 |
$2K |