| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
691 |
691 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
423 |
423 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,337 |
1,328 |
$40K |
| 92015 |
Determination of refractive state |
1,274 |
1,274 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
724 |
719 |
$20K |
| V2020 |
Frames, purchases |
1,434 |
1,425 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,466 |
1,454 |
$0.00 |