| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
516 |
484 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
948 |
908 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
173 |
170 |
$14K |
| 92015 |
Determination of refractive state |
1,091 |
1,062 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
230 |
215 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
132 |
130 |
$2K |
| V2020 |
Frames, purchases |
241 |
229 |
$1K |