| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
858 |
851 |
$61K |
| V2020 |
Frames, purchases |
938 |
931 |
$23K |
| 92015 |
Determination of refractive state |
1,514 |
1,503 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
583 |
577 |
$12K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,351 |
819 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
282 |
159 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |