| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
652 |
624 |
$26K |
| 92015 |
Determination of refractive state |
1,289 |
1,230 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
196 |
185 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65 |
61 |
$3K |
| V2020 |
Frames, purchases |
379 |
365 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
95 |
86 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
33 |
30 |
$601.76 |
| 2023F |
|
12 |
12 |
$0.00 |