| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
158 |
136 |
$5K |
| V2020 |
Frames, purchases |
44 |
44 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
27 |
26 |
$672.02 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$652.86 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
15 |
$376.56 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
44 |
44 |
$264.00 |