| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,664 |
1,540 |
$88K |
| 92015 |
Determination of refractive state |
2,669 |
2,454 |
$48K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
588 |
535 |
$15K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
715 |
648 |
$8K |
| V2020 |
Frames, purchases |
967 |
868 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
136 |
133 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
24 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
37 |
$796.52 |