| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
638 |
629 |
$53K |
| 92015 |
Determination of refractive state |
1,408 |
1,375 |
$17K |
| V2020 |
Frames, purchases |
482 |
447 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
362 |
340 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
238 |
227 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
58 |
58 |
$2K |