| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,082 |
1,075 |
$47K |
| 92015 |
Determination of refractive state |
1,821 |
1,807 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
358 |
356 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
633 |
628 |
$14K |
| V2020 |
Frames, purchases |
695 |
688 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
528 |
524 |
$13K |
| 92341 |
|
13 |
13 |
$350.61 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$156.00 |