| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
954 |
921 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
807 |
791 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
412 |
403 |
$20K |
| 92015 |
Determination of refractive state |
1,293 |
1,266 |
$19K |
| V2020 |
Frames, purchases |
350 |
348 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
307 |
307 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
179 |
179 |
$2K |
| 92341 |
|
34 |
33 |
$983.46 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
15 |
$406.82 |