| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
538 |
532 |
$54K |
| 92015 |
Determination of refractive state |
1,351 |
1,291 |
$51K |
| V2020 |
Frames, purchases |
1,297 |
1,248 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,099 |
1,059 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
178 |
172 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
51 |
51 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
157 |
156 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
104 |
100 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
336 |
329 |
$0.00 |