| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
629 |
599 |
$30K |
| 92015 |
Determination of refractive state |
1,021 |
961 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
843 |
813 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
123 |
115 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
538 |
438 |
$3K |
| V2020 |
Frames, purchases |
675 |
642 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21 |
12 |
$180.92 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
64 |
64 |
$0.00 |