| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,006 |
887 |
$51K |
| 92015 |
Determination of refractive state |
2,079 |
1,972 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
532 |
505 |
$40K |
| V2020 |
Frames, purchases |
507 |
485 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
280 |
264 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
585 |
549 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
129 |
115 |
$2K |
| 92341 |
|
13 |
13 |
$428.56 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$403.96 |