| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
262 |
254 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,085 |
731 |
$9K |
| 92015 |
Determination of refractive state |
597 |
576 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
488 |
435 |
$115.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
277 |
209 |
$0.00 |
| V2020 |
Frames, purchases |
509 |
417 |
$0.00 |