| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
608 |
605 |
$29K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
892 |
481 |
$18K |
| V2020 |
Frames, purchases |
588 |
579 |
$8K |
| 92250 |
|
132 |
130 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
69 |
68 |
$3K |
| 92015 |
Determination of refractive state |
997 |
990 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
123 |
118 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
122 |
61 |
$0.00 |