| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
283 |
264 |
$17K |
| V2020 |
Frames, purchases |
462 |
386 |
$14K |
| 92015 |
Determination of refractive state |
481 |
441 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
174 |
173 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
59 |
48 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
183 |
142 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
452 |
383 |
$3K |