| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
342 |
333 |
$17K |
| 92015 |
Determination of refractive state |
1,003 |
967 |
$10K |
| V2020 |
Frames, purchases |
291 |
275 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
92 |
89 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
143 |
136 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
47 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
61 |
$0.00 |
| 1036F |
|
48 |
46 |
$0.00 |