| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
467 |
458 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
321 |
308 |
$26K |
| V2020 |
Frames, purchases |
414 |
393 |
$4K |
| 92015 |
Determination of refractive state |
1,342 |
1,306 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
295 |
276 |
$691.74 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
574 |
542 |
$289.36 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
229 |
216 |
$0.00 |