| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
865 |
756 |
$77K |
| V2020 |
Frames, purchases |
1,084 |
948 |
$33K |
| 92015 |
Determination of refractive state |
1,135 |
978 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
648 |
581 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
967 |
854 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
80 |
$10K |
| 92250 |
|
15 |
14 |
$440.16 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
614 |
581 |
$0.00 |