| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,061 |
1,020 |
$63K |
| 92015 |
Determination of refractive state |
2,098 |
2,022 |
$45K |
| V2020 |
Frames, purchases |
779 |
712 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
752 |
705 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
261 |
253 |
$19K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
731 |
669 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
216 |
200 |
$4K |