| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,270 |
1,213 |
$73K |
| 92015 |
Determination of refractive state |
1,757 |
1,695 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,055 |
1,023 |
$30K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
881 |
870 |
$14K |
| V2020 |
Frames, purchases |
1,346 |
1,307 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
760 |
747 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
80 |
77 |
$6K |