| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
474 |
468 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
291 |
284 |
$38K |
| V2020 |
Frames, purchases |
889 |
871 |
$35K |
| 92015 |
Determination of refractive state |
831 |
814 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
743 |
427 |
$535.41 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
459 |
453 |
$386.52 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
50 |
24 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
18 |
12 |
$0.00 |