| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
431 |
418 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
865 |
850 |
$12K |
| 92015 |
Determination of refractive state |
1,051 |
1,019 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
145 |
$6K |
| V2020 |
Frames, purchases |
781 |
758 |
$55.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
775 |
761 |
$5.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
199 |
196 |
$0.00 |