| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
482 |
482 |
$51K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
753 |
748 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
769 |
761 |
$21K |
| 92015 |
Determination of refractive state |
1,045 |
1,033 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
65 |
$8K |
| V2020 |
Frames, purchases |
763 |
754 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
805 |
797 |
$0.00 |