| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
675 |
644 |
$66K |
| V2020 |
Frames, purchases |
884 |
830 |
$29K |
| 92015 |
Determination of refractive state |
965 |
916 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
392 |
377 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
574 |
559 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
44 |
42 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
134 |
132 |
$0.00 |