| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
619 |
619 |
$64K |
| V2020 |
Frames, purchases |
871 |
852 |
$30K |
| 92015 |
Determination of refractive state |
1,037 |
1,032 |
$19K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
321 |
318 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
534 |
520 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$5K |
| 1036F |
|
233 |
224 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
381 |
376 |
$0.00 |