| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
542 |
521 |
$54K |
| V2020 |
Frames, purchases |
575 |
552 |
$20K |
| 92015 |
Determination of refractive state |
649 |
630 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
348 |
346 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
484 |
479 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
376 |
367 |
$0.00 |