| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,783 |
1,710 |
$135K |
| 92015 |
Determination of refractive state |
3,374 |
3,219 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
329 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
644 |
612 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
405 |
355 |
$9K |
| V2020 |
Frames, purchases |
374 |
337 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
100 |
53 |
$679.82 |