| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
571 |
562 |
$46K |
| 92015 |
Determination of refractive state |
1,240 |
1,204 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
556 |
266 |
$11K |
| V2020 |
Frames, purchases |
298 |
279 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
169 |
158 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
47 |
25 |
$822.94 |