| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,627 |
1,620 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,476 |
2,411 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
374 |
374 |
$18K |
| 92015 |
Determination of refractive state |
2,488 |
2,482 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
374 |
373 |
$6K |
| V2750 |
Anti-reflective coating, per lens |
15 |
15 |
$0.00 |