| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,233 |
1,089 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,036 |
915 |
$44K |
| 92015 |
Determination of refractive state |
2,275 |
2,013 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
469 |
343 |
$9K |
| V2020 |
Frames, purchases |
613 |
466 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,295 |
1,260 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
305 |
214 |
$4K |