| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
168 |
159 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
382 |
315 |
$6K |
| 92015 |
Determination of refractive state |
374 |
354 |
$5K |
| V2020 |
Frames, purchases |
350 |
322 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
37 |
$381.40 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
219 |
203 |
$253.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
29 |
25 |
$82.10 |