| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
725 |
714 |
$32K |
| 92015 |
Determination of refractive state |
1,197 |
1,156 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
940 |
913 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
71 |
69 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
396 |
392 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,004 |
992 |
$0.00 |
| V2020 |
Frames, purchases |
1,106 |
1,085 |
$0.00 |