| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,412 |
1,351 |
$123K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
707 |
687 |
$56K |
| V2020 |
Frames, purchases |
719 |
694 |
$49K |
| 92015 |
Determination of refractive state |
1,666 |
1,606 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
676 |
657 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
127 |
121 |
$14K |
| 92065 |
|
230 |
93 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
136 |
128 |
$7K |