| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
543 |
506 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,175 |
1,084 |
$19K |
| 92015 |
Determination of refractive state |
1,295 |
1,190 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
84 |
74 |
$6K |
| V2020 |
Frames, purchases |
210 |
200 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
212 |
198 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$223.60 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
103 |
95 |
$1.77 |