| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
150 |
142 |
$14K |
| V2020 |
Frames, purchases |
330 |
321 |
$11K |
| 92015 |
Determination of refractive state |
446 |
431 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
199 |
195 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
59 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
12 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
25 |
$0.00 |