| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,498 |
1,447 |
$69K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,069 |
1,959 |
$49K |
| 92015 |
Determination of refractive state |
2,038 |
1,990 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
561 |
542 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
620 |
590 |
$19K |
| V2020 |
Frames, purchases |
1,777 |
1,696 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
909 |
875 |
$14K |
| 3072F |
|
178 |
177 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
12 |
$0.00 |