| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
992 |
972 |
$70K |
| 92015 |
Determination of refractive state |
1,732 |
1,683 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,196 |
1,168 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
96 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
221 |
215 |
$5K |
| V2020 |
Frames, purchases |
56 |
52 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29 |
28 |
$248.54 |
| 2026F |
|
14 |
14 |
$0.00 |