| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
464 |
346 |
$31K |
| V2020 |
Frames, purchases |
720 |
553 |
$17K |
| 92015 |
Determination of refractive state |
826 |
630 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
679 |
523 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
384 |
293 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
111 |
81 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
28 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
533 |
402 |
$0.00 |