| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
739 |
673 |
$34K |
| 92015 |
Determination of refractive state |
937 |
859 |
$5K |
| V2020 |
Frames, purchases |
219 |
196 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
47 |
46 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
88 |
48 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
307 |
299 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
91 |
60 |
$736.67 |