| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
446 |
440 |
$40K |
| 92015 |
Determination of refractive state |
913 |
898 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
140 |
134 |
$16K |
| V2020 |
Frames, purchases |
163 |
156 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
197 |
186 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
162 |
156 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
25 |
$2K |